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Jaqueline Rohde

Student in an Organized Health Care Education/Training Program in La Verne, CA. Individual provider (NPI-1).

NPI number1962013458
StatusActive
Last updated in NPPESAug 10, 2020

Details

NPI
1962013458
Entity type
Individual (NPI-1)
Name
Jaqueline Rohde
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 10, 2020
Certification date
Aug 10, 2020
Last updated
Aug 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

233 W Baseline Rd
La Verne, CA 91750

Phone 909-833-2986

Mailing address

233 W Baseline Rd
La Verne, CA 91750-2353

Phone 909-833-2986

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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