JESSICA DAWN JAQUESS

CLOVIS, NM
NPI1710423850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  A-1629)
Enumeration Date2017-01-12
Last Update Date2017-01-12
Business Address
Mrs. JESSICA DAWN JAQUESS PTA
1391 GROVE DR
CLOVIS, NM 88101-1110
Phone number: 575-703-5281
Mailing Address
Mrs. JESSICA DAWN JAQUESS PTA
1391 GROVE DR
CLOVIS, NM 88101
Phone number: 575-703-5281