Individual
JACQUES MALOY MAIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5121 STOCKDALE HWY, BAKERSFIELD, CA 93309-2656
(661) 868-5134
Mailing address
2001 28TH ST, BAKERSFIELD, CA 93301-1924
(613) 380-8909
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSSSEALPU
CA
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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