Henry Gerard Jaquez
Henry Gerard Jaquez is an Occupational Therapist in Lewiston, Idaho. Licensed in Idaho. Registered with an NPI since 2018.
- Licensed in
- ID
- In the registry since
- 2018
Practice location Address checks out
614 Burrell DrLewiston, ID 83501-5120
Phone: (208) 792-1808
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X (ID) |
|---|
Record details
| NPI number | 1871063909 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 2, 2018 |
| Last updated in NPPES | December 2, 2018 |
| Mailing address | 614 Burrell Dr, Lewiston, ID 83501-5120 |
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