Jeanette Louise Jaquez, PTA
Specialist in Farmington, NM. Individual provider (NPI-1).
NPI number1245554336
StatusActive
Last updated in NPPESMar 18, 2010
Details
- NPI
- 1245554336
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jeanette Louise Jaquez
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2010
- Last updated
- Mar 18, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | A-0418 | NM | Yes |
Practice location
3180 N Butler Ave Ste 300Farmington, NM 87401-2336
Phone 505-320-4153
Mailing address
3180 N Butler Ave Ste 300Farmington, NM 87401-2336
Phone 505-320-4153
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