Search › California › 101YP2500X

Jacqueline Plaza

NPI 1558062661 · on the registry since 2023 · sole proprietor

Practice

Address
311 E Merced St
Fowler, CA 93625
Phone
(559) 892-9452
Organisation at this address
Prodigy Healthcare, Inc.
Prodigy Healthcare Non Profit
Inferred from a shared address, not stated in the registry.
Clinicians at this address
116

Additional practice sites

  • 1396 W Herndon Ave, Fresno, CA

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
106S00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-26

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