Individual
MRS. AIMEE LYNNE JAQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
32 CHURCH HILL RD, NEWTOWN, CT 06470-1638
(203) 491-2999
(203) 666-5651
Mailing address
2000 POST RD STE 305, FAIRFIELD, CT 06824-5730
(203) 349-1438
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1656
CT
363AS0400X
Surgical Physician Assistant
Primary
1656
CT
Other
Enumeration date
01/30/2007
Last updated
03/03/2026
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