Individual
ALEXANDER ALBERT JAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20104 BELMA CT, PRUNEDALE, CA 93907-8406
(831) 663-0596
Mailing address
20104 BELMA CT, PRUNEDALE, CA 93907-8406
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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