NICHOLAS PATRICK JELACIC

TRAVIS AFB, CA
NPI1841750494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  A183185)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: WI  74890-20)
Enumeration Date2019-03-20
Last Update Date2023-04-26
Business Address
NICHOLAS PATRICK JELACIC MD
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3825
Mailing Address
NICHOLAS PATRICK JELACIC MD
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3825