Jacqueline Licauco, NP

NURSE PRACTITIONER

191 S Buena Vista St
Suite 100
Burbank, CA 915054562
(818) 869-7600
**NPI:** 1467857284
**Med School:** OTHER
**Experience:** 11 years
**Telehealth:** No
**Medicare Assignment:** Yes

Practice Locations (1)

PROVIDENCE FACEY MEDICAL FOUNDATION

191 S Buena Vista St, Suite 100
Burbank, CA 915054562

Phone: (818) 869-7600

**Group ID:** 3173436276 | **Group Size:** 288 members

Hospital Affiliations

No hospital affiliations reported.

MIPS Performance Score

MIPS performance data is not available or not publicly reported.

Procedure Volume (Utilization)

Procedure volume data is not available for public display.

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