Provider Demographics
NPI:1538206057
Name:THOMAS, JACQUELINE PAIGE (ND)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:PAIGE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 N CHELAN AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2104
Mailing Address - Country:US
Mailing Address - Phone:509-665-0867
Mailing Address - Fax:509-665-9657
Practice Address - Street 1:245 N CHELAN AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2104
Practice Address - Country:US
Practice Address - Phone:509-665-0867
Practice Address - Fax:509-665-9657
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA754175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath