Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANNETTE EVELINE JAQUEZ
Active Sole ProprietorAthletic Trainer · BUCKEYE, AZ
Registration Details
- NPI Number
- 1215050836
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2007 (19.035889712184 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
20890 W PROSPECTOR WAYBUCKEYE, AZ, 853967682Browse AZ providers · Browse ZIP 85396
- Phone
- 6233746080
- Primary Specialty
-
Athletic Trainer
225500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.