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Jeanette Jaquez, PTA
NPI 1245554336 · on the registry since 2010
Practice
- Address
- 3180 N Butler Ave Ste 300
Farmington, NM 87401 - Phone
- (505) 320-4153
- Organisation at this address
- Derek Graff Dmd Ltd
Special K Fitness, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-03-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico