| 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 |