Individual
JESSICA CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 MESQUITE DR, LAGUNA VISTA, TX 78578-2708
(956) 943-2248
Mailing address
225 MESQUITE DR, LAGUNA VISTA, TX 78578-2708
(956) 943-2248
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
330033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330033
LIC
TX
Enumeration date
10/06/2014
Last updated
10/06/2014
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