Individual
ENRIQUE G JACOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
72780 COUNTRY CLUB DR, SUITE A103, RANCHO MIRAGE, CA 92270-4126
(760) 779-5511
(760) 773-3320
Mailing address
72780 COUNTRY CLUB DR, SUITE A103, RANCHO MIRAGE, CA 92270-4126
(760) 779-5511
(760) 773-3320
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A44682
CA
Other
Enumeration date
09/22/2006
Last updated
11/28/2011
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