NPI | 1588755458 |
---|---|
Other Name | JACQUELINE HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 45198) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CO 45198) |
207RA0401X Internal Medicine, Addiction Medicine (Licence: CO 45198) | |
208D00000X General Practice (Licence: WA MD60648223) | |
208D00000X General Practice (Licence: CO 45198) | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2018-10-10 |