Individual
JACQUELINE ANN ELIZONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, OTC, ROT, OPE-C
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
20-0612
TX
Other
Enumeration date
04/22/2021
Last updated
10/19/2022
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