MICHAEL ALLAN JACQUES

LAS VEGAS, NV
NPI1679287759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NV  861725)
Enumeration Date2023-01-12
Last Update Date2023-01-12
Business Address
MICHAEL ALLAN JACQUES CRNA
7160 RAFAEL RIVERA WAY STE 210
LAS VEGAS, NV 89113-5395
Phone number: 702-878-0070
Mailing Address
MICHAEL ALLAN JACQUES CRNA
PO BOX 840857
DALLAS, TX 75284-2250
Phone number: 725-204-4632