Jacqueline Stark Nursing PC
NPI #1811373988 in Brea, California
Provider Information
- NPI Number
- 1811373988
- Entity Type
- Organization
- Organization Name
- Jacqueline Stark Nursing PC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jul 30, 2015
- Last Updated
- Jul 30, 2015
Practice Location
- Address
- 2951 BLUEBELL AVE
- City
- Brea
- State
- California
- ZIP Code
- 92821-4702
- Phone
- (714) 640-4460
Authorized Official
- Name
- JACQUELINE STARK, CRNA
- Title
- PRESIDENT/OWNER
- Phone
- (714) 640-4460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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