JANIS JAQUEZ, PA
Physician Assistant - Medical
Active
Individual
NPI: 1215002779
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 001743 (CT) |
Frequently Asked Questions
NPI 1215002779 is the National Provider Identifier for JANIS JAQUEZ, PA, a Physician Assistant - Medical provider located in West Hartford, CT. This NPI was enumerated on November 21, 2006.
JANIS JAQUEZ, PA practices at 74 PARK RD, West Hartford, CT 06119.
Quick Facts
- NPI
- 1215002779
- Type
- Individual
- Enumerated
- Nov 21, 2006
- Last Updated
- May 23, 2012
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