Henry Gerard Jaquez

NPI #1871063909 in Lewiston, Idaho

Provider Information

NPI Number
1871063909
Entity Type
Individual
Name
Henry Gerard Jaquez
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Enumeration Date
Dec 2, 2018
Last Updated
Dec 2, 2018

Practice Location

Address
614 BURRELL DR
State
Idaho
ZIP Code
83501-5120
Phone
(208) 792-1808

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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