Individual
MS. JESSICA A. MANCILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 E CALTON RD # 3, LAREDO, TX 78041-3689
(956) 722-3377
Mailing address
619 E CALTON RD # 3, LAREDO, TX 78041-3689
(956) 722-3377
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41817
TX
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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