Individual
JACQUELINE BACH VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1006 MICA CT, HANNA, WY 82327-5071
(702) 366-3149
Mailing address
1006 MICA CT, HANNA, WY 82327-5071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CO
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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