MRS. Jeanette Louise Jaquez, PTA
NPI #1245554336 in Farmington, New Mexico
Provider Information
- NPI Number
- 1245554336
- Entity Type
- Individual
- Name
- MRS. Jeanette Louise Jaquez, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- PTA
- Enumeration Date
- Mar 18, 2010
- Last Updated
- Mar 18, 2010
Practice Location
- Address
- 3180 N BUTLER AVE STE 300
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-2336
- Phone
- (505) 320-4153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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