Chantal H Jacques O.D.

NPI 1801025960 - Optometrist - 152W00000X

NPI Details
NPI 1801025960
Gender Female
Enumeration Date 07/10/2009
Last Updated 08/18/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
122 S COUNTY CENTER WAY
STE A
SAINT LOUIS MO, 63129-1092, US
Phone (314) 416-7588
Fax (314) 416-9368
Business Location
6614 CLAYTON RD
#319
SAINT LOUIS MO, 63117-1602, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046.010234
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According to our database, Dr. Chantal H Jacques O.D. NPI is 1801025960, taxonomy code is 152W00000X and license number is 046.010234, license state is located at Illinois. Chantal H Jacques O.D. physically located at 122 S County Center Way, Saint Louis MO, 63129-1092. NPI Number Chantal H Jacques O.D. has the Individual type.

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1801025960 NPI number is provided on an as is basis without warranty of any kind. 1801025960 is maintained by the National Plan & Provider Enumeration System. The contents of Chantal H Jacques O.D. are for informational purposes only.