Individual
MISS LUZ I JAQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8201 LOCKHEED DR, SUITE 115, EL PASO, TX 79925-2500
(915) 238-1128
(866) 206-7405
Mailing address
3697 BISHOP WAY, EL PASO, TX 79903-1623
(915) 238-1128
(866) 206-7405
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT044768
TX
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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