Mrs. Jacqueline Ann Thai van Dat
Mrs. Jacqueline Ann Thai van Dat is an Other Technician in San Diego, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
501 W Broadway Ste 800San Diego, CA 92101-3546
Phone: (855) 832-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1659019321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 23, 2022 |
| Last updated in NPPES | May 23, 2022 |
| Certification date | May 23, 2022 |
| Mailing address | 7108 S Kanner Hwy, Stuart, FL 34997-7462 |
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