Individual
JESSLY GUADALUPE ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44840 VALLEY CENTRAL WAY STE 102, LANCASTER, CA 93536-7261
(661) 592-0701
Mailing address
40710 168TH ST E, LANCASTER, CA 93535-7109
(626) 315-8341
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
8367
CA
Other
Enumeration date
02/16/2021
Last updated
06/29/2024
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