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Jacqueline Butler

NPI 1225481716 · on the registry since 2016 · sole proprietor

Practice

Address
2092 Omega Rd Ste G
San Ramon, CA 94583
Phone
(415) 637-7616
Organisation at this address
Playdates. Soft Indoor Playlounge
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
252Y00000X
252Y00000X
Also registered as
224Z00000X
2355S0801X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-12

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