Individual
EMMA R JAQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1461 FRANKLIN ST, BELLINGHAM, WA 98225-4908
(360) 915-4765
Mailing address
1461 FRANKLIN ST, BELLINGHAM, WA 98225-4908
(360) 915-4765
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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