BRIAN J JACQUES

LOMA LINDA, CA
NPI1851319370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  RN0017090)
Enumeration Date2006-07-17
Last Update Date2007-07-08
Business Address
-- BRIAN J JACQUES CRNA
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4475
Mailing Address
-- BRIAN J JACQUES CRNA
55799 FILE NUMBER
LOS ANGELES, CA 90074-5799
Phone number: 800-326-6223
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