Individual
KIMBERLY ANN JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1732 ROUTE 35, WALL, NJ 07719-3440
(732) 280-2336
(732) 280-2026
Mailing address
1732 ROUTE 35, WALL, NJ 07719-3440
(732) 280-2336
(732) 280-2026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02503300
NJ
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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