Individual
MR. DAVID DANIEL JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 LEMOYNE RD, NORTHWOOD, OH 43619-1867
(513) 388-7222
Mailing address
156 CHESTERFIELD LN APT 2, MAUMEE, OH 43537-3886
(513) 388-7222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/23/2018
Last updated
09/17/2021
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