Jaquez, Jeanette Louise

Jaquez, Jeanette Louise is an individual health care provider with primary practice located at 3180 N Butler Ave Ste 300 , Farmington NM 87401-2336. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jaquez, Jeanette Louise can be contacted via phone (505) 320-4153.

Contact Information

Primary practice address
3180 N Butler Ave Ste 300 Farmington NM 87401-2336
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A-0418 New Mexico

Profile Details

NPI number 1245554336
LBN Legal business name Jaquez, Jeanette Louise
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2010
Last updated Mar 18th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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