Individual provider · Type 1 NPI

Jeanette Louise Jaquez, PTA

Specialist · Farmington, NM

NPI number 1245554336 Active

Practice location

3180 N Butler Ave Ste 300
Farmington, NM 87401-2336

Call (505) 320-4153 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA-0418 (NM)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1245554336

Jeanette Louise Jaquez, PTA's National Provider Identifier is 1245554336, issued on Mar 18, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Farmington, NM. The record was last updated on Mar 18, 2010.