BREANNE M JAQUA

GILBERT, AZ
NPI1821520313
Former NameBREANNE M HIRSHMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: AZ  008620)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: OH  34.013802)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-03
Last Update Date2022-02-10
Business Address
BREANNE M JAQUA D.O.
1501 N GILBERT RD
GILBERT, AZ 85234-2390
Phone number: 480-728-4100
Mailing Address
BREANNE M JAQUA D.O.
1501 N GILBERT RD FL 1
GILBERT, AZ 85234-2390
Phone number: 480-728-4100