Pete A. Jacques, PA-C
Physician Assistant, Medical in Tacoma, WA. Individual provider (NPI-1).
NPI number1104890656
StatusActive
Last updated in NPPESJun 15, 2009
Details
- NPI
- 1104890656
- Entity type
- Individual (NPI-1)
- Name
- Pete A. Jacques
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2006
- Last updated
- Jun 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA10001731 | WA | Yes |
Practice location
2202 S Cedar StSte. #310
Tacoma, WA 98405-2318
Phone 253-272-5127 · Fax 253-404-0506
Mailing address
Po Box 1241Tacoma, WA 98401-1241
Phone 253-272-5127 · Fax 253-404-0506
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