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Henry Jaquez
NPI 1871063909 · on the registry since 2018
Practice
- Address
- 614 Burrell Dr
Lewiston, ID 83501 - Phone
- (208) 792-1808
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-02
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 Idaho