NPI 1033991104

Linda Jacques

Practitioner Driver Tampa, FL

Practice location

Address: 5912 Birchwood Dr, Tampa, FL 33625-5670
Phone: (813) 382-2676

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1033991104
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Oct 2023
Record last updated: 13 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.