Individual
JACQUELINE PAIGE VAQUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1811
(336) 716-6674
(336) 716-9188
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00010-15496
NC
363A00000X
Physician Assistant
5601010579
MI
Other
Enumeration date
12/13/2021
Last updated
07/29/2025
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