Individual
DR. ACHARLOTTE JAQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
205 S EL CAMINO REAL STE A, ENCINITAS, CA 92024-4141
(760) 944-7177
(760) 944-9603
Mailing address
1135 PHILLIPS ST, VISTA, CA 92083-7114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6059T
CA
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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