Individual
JACQUELINE PUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
387 WOODBRIDGE ST, DES PLAINES, IL 60016-3060
(773) 964-5761
Mailing address
4849 CALHOUN RD, HOUSTON, TX 77204-2043
(713) 743-5902
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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