Individual
MRS. JACQUELINE MARIE YI MEI SAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1215 21ST AVE S STE 9211, NASHVILLE, TN 37232-4638
(615) 936-5040
Mailing address
2110 ELLISTON PL APT 202, NASHVILLE, TN 37203-5398
(619) 857-9372
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0000007628
TN
235Z00000X
Speech-Language Pathologist
Primary
4826
TN
Other
Enumeration date
09/29/2021
Last updated
03/28/2023
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