person
Janis A. Jaquez, PA
Medical Physician Assistant in West Hartford, Connecticut
NPI 1215002779

Janis A. Jaquez is a Medical Physician Assistant based in West Hartford, CT and is specialized in Medical. Janis A. Jaquez practices in West Hartford, CT and has the professional credentials of PA. The NPI Number for Janis A. Jaquez is 1215002779 and holds a License No. 001743 (Connecticut).

The current practice location address for Janis A. Jaquez is 74 Park Rd, West Hartford, CT and can be reached out via phone at 860-218-1725 and via fax at 860-218-1727.

Location: 74 Park Rd, West Hartford, CT, 06119-1853
person
Provider Profile Details
NPI Number
1215002779
Provider Name
Janis A. Jaquez
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
74 Park Rd, West Hartford, CT, 06119-1853
Phone Number
860-218-1725
Fax Number
860-218-1727
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001743 01 CT LIC NUMBER
institution
Provider Business Practice Location Address Details
Address
74 Park Rd
City
State
Zip
06119-1853
Phone Number
860-218-1725
Fax Number
860-218-1727
person
Provider Business Mailing Address Details
Address
74 Park Rd
City
State
Zip
06119-1853
Phone Number
860-218-1725
Fax Number
860-218-1727
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
001743 (Connecticut)
Definition
Definition to come...
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