Individual
JACLYNNE WILANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
185 LAKESHORE CT, RICHMOND, CA 94804-7423
(562) 537-5284
Mailing address
185 LAKESHORE CT, RICHMOND, CA 94804-7423
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
CA
2355S0801X
Speech-Language Assistant
Primary
—
WA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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