Provider Demographics
NPI:1154919801
Name:JARQUIN, MONICA FIGUEROA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:FIGUEROA
Last Name:JARQUIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2169 YOSEMITE PKWY APT 45
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-4354
Mailing Address - Country:US
Mailing Address - Phone:209-761-1683
Mailing Address - Fax:
Practice Address - Street 1:2169 YOSEMITE PKWY APT 45
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-4354
Practice Address - Country:US
Practice Address - Phone:209-761-1683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74851B3343900000X
CA2100063816343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)