Individual
JACQUELYN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 E BRAVO BLVD STE D, ROMA, TX 78584-5741
(956) 849-1818
Mailing address
2108 S M ST, MCALLEN, TX 78503-1555
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40772
TX
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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