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Individual

AMANDA MARIE JACQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1755 CURIE DR STE C, EL PASO, TX 79902-2920
(915) 577-7951
(915) 577-7952
Mailing address
2930 N STANTON ST, EL PASO, TX 79902-2511
(915) 351-0523

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1213030
TX

Other

Enumeration date
11/20/2025
Last updated
11/20/2025
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