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Individual

JAQUELINE CARRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1605 N TOWNSEND RD, HERMISTON, OR 97838-6769
(458) 255-8461
Mailing address
1605 N TOWNSEND RD, HERMISTON, OR 97838-6769
(458) 255-8461

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
04/28/2026
Last updated
04/28/2026
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