Organization
DANA R JACQUES MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA R JACQUES M.D. (PRESIDENT)
(916) 788-2000
Entity
Organization
Contact information
Practice address
1082 SUNRISE AVE, SUITE 190, ROSEVILLE, CA 95661-4302
(916) 788-2000
(916) 788-2010
Mailing address
1082 SUNRISE AVE, SUITE 190, ROSEVILLE, CA 95661-4302
(916) 788-2000
(916) 788-2010
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G88578
CA
Other
Enumeration date
04/23/2010
Last updated
08/09/2011
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