Provider Demographics
NPI:1730463241
Name:FRIEDLANDER, JACQUELINE MARIE (DVM)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:MARIE
Last Name:FRIEDLANDER
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 26TH ST
Mailing Address - Street 2:SUITE 125
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90402-2524
Mailing Address - Country:US
Mailing Address - Phone:310-848-4604
Mailing Address - Fax:
Practice Address - Street 1:212 26TH ST
Practice Address - Street 2:SUITE 125
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90402-2524
Practice Address - Country:US
Practice Address - Phone:310-848-4604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18670174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian