Individual
MRS. JEANNINE L. PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 634-1331
(928) 634-3130
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001475
CT
363AS0400X
Surgical Physician Assistant
Primary
7412
AZ
Other
Enumeration date
03/23/2007
Last updated
01/14/2021
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