Individual
JACLYN MICHELLE SALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 CAMARILLO RANCH RD, CAMARILLO, CA 93012-5082
(805) 484-2026
Mailing address
231 CAMARILLO RANCH RD, CAMARILLO, CA 93012-5082
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10207
CA
Other
Enumeration date
09/28/2013
Last updated
09/30/2013
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