Individual
JAQUELINE LEANN ISQUIERDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1645 GALISTEO ST, SANTA FE, NM 87505-4749
(505) 984-8989
(505) 984-8892
Mailing address
3116 SCENIC DR, MODESTO, CA 95355-4771
(209) 499-1842
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-2023-0007
NM
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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