Individual
MR. JACQUES JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12790 N.E 5TH AVE, NORTH MIAMI, FL 33161-4706
(305) 807-0137
Mailing address
12790 N.E 5TH AVE, NORTH MIAMI, FL 33161-4706
(305) 807-0137
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
RT6007
FL
Other
Enumeration date
10/03/2006
Last updated
07/09/2007
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