| Austin Jacquillard, | |
|
15145 Lakeshore Dr, Clearlake, CA 95422-8106 | |
| (707) 995-7200 | |
| Not Available |
| Full Name | Austin Jacquillard |
|---|---|
| Gender | Male |
| Speciality | Licensed Vocational Nurse |
| Location | 15145 Lakeshore Dr, Clearlake, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669287835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 337535 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Jacquillard, 98-703 Iho Pl, Bldg 1 Apt 703, Aiea, HI 96701 Ph: (559) 367-8213 | Austin Jacquillard, 15145 Lakeshore Dr, Clearlake, CA 95422-8106 Ph: (707) 995-7200 |
Mrs. Melanie Irene Caruso, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-4526 | |
Leanne Colleen Ostern, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-994-2401 | |
Ms. Fairin I Antonio, LVN II Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 15145 A Lakeshore Dr, Clearlake, CA 95422 Phone: 707-994-7090 Fax: 707-994-7096 | |
Annah Wairimu Muiruri, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 13939 Lakeshore Dr, Clearlake, CA 95422 Phone: 831-265-3441 |