Individual
DAWN APRYL JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
17506 DEVONSHIRE RD, JAMAICA, NY 11432-2949
(917) 892-3022
Mailing address
17506 DEVONSHIRE RD, JAMAICA, NY 11432-2949
(917) 892-3022
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009849
NY
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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