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Individual

CRISTINA SANCHEZ-JAQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2705 E 17TH ST, AMMON, ID 83406-6601
(203) 528-5643
Mailing address
2705 E 17TH ST, AMMON, ID 83406-6601
(203) 528-5643

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
171641
CA
2084P0800X
Psychiatry Physician
Primary
MD-21973
HI
2084P0804X
Child & Adolescent Psychiatry Physician
MD-21973
HI
2084P0804X
Child & Adolescent Psychiatry Physician
ME119735
FL

Other

Enumeration date
10/12/2007
Last updated
03/26/2026
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