Annette Jacks
NPI #1508209404 in Placitas, New Mexico
Provider Information
- NPI Number
- 1508209404
- Entity Type
- Individual
- Name
- Annette Jacks
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Apr 10, 2013
- Last Updated
- Oct 30, 2013
Practice Location
- Address
- 3 HOMESTEADS RD STE D
- City
- Placitas
- State
- New Mexico
- ZIP Code
- 87043-9229
- Phone
- (970) 903-2213
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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