MARK LAWRENCE JACQUES

TACOMA, WA
NPI1780702811
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: NY  219194)
Enumeration Date2007-03-27
Last Update Date2022-04-28
Business Address
Dr. MARK LAWRENCE JACQUES M.D.
9040 JACKSON AVE
TACOMA, WA 98431-5333
Phone number: 253-968-1110
Mailing Address
Dr. MARK LAWRENCE JACQUES M.D.
301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7040
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