JACLYN STACY FAULK

JBSA LACKLAND, TX
NPI1578093126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MS  26918)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-06-15
Last Update Date2024-07-16
Business Address
JACLYN STACY FAULK DO
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-4277
Mailing Address
JACLYN STACY FAULK DO
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-4277