Individual
JAZMIN PALACIOS PEGUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
248 W A ST, GALT, CA 95632-2449
(209) 745-2641
Mailing address
2467 E SONORA ST, STOCKTON, CA 95205-6508
(209) 623-3204
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
240131502
CA
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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