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Jackie Jacques, PTA 16675171
NPI 1588319214 · on the registry since 2022 · sole proprietor
Practice
- Address
- 29804 Highway 101
Suite #5
Quilcene, WA 98376 - Phone
- (360) 765-0888
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-22
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 Washington