Individual
LINA JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
418 GRAND PARK DR STE 321, PARKERSBURG, WV 26105-4000
(304) 865-5190
Mailing address
418 GRAND PARK DR STE 321, PARKERSBURG, WV 26105-4000
(304) 865-5190
(304) 865-5569
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27083
WV
207R00000X
Internal Medicine Physician
35.143941
OH
207R00000X
Internal Medicine Physician
R4402
TX
Other
Enumeration date
06/12/2014
Last updated
09/15/2022
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