Individual
CLAUDE JEAN JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3860 ASPEN LEAF DR, BOYNTON BEACH, FL 33436-1700
(954) 607-8381
Mailing address
3860 ASPEN LEAF DR, BOYNTON BEACH, FL 33436-1700
(954) 607-8381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11002050
FL
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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