Individual provider · Type 1 NPI

Jacqueline Gepulle

Medical Physician Assistant · Victorville, CA

NPI number 1619314903 Active

Practice location

13777 Air Expressway Blvd
Victorville, CA 92394-0510

Fax (760) 530-5762

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1619314903

Jacqueline Gepulle's National Provider Identifier is 1619314903, issued on May 28, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Victorville, CA. The record was last updated on Jan 30, 2014.