Search › California › 106S00000X
Jacqueline Cancino
NPI 1205541299 · on the registry since 2023 · sole proprietor
Practice
- Address
- 44133 Larrea St
Indio, CA 92201 - Phone
- (760) 984-3065
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California