Individual
JAQUAYA SALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
4311 11TH AVE NE STE 200, SEATTLE, WA 98105-6367
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17818
TX
Other
Enumeration date
08/19/2022
Last updated
03/26/2024
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