Individual
KEYRY JACQUELINE CID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1034 W AVENUE L12 UNIT 105107, LANCASTER, CA 93534-7083
(424) 442-9129
Mailing address
35340 80TH ST E, LITTLEROCK, CA 93543-3054
(626) 297-3409
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
9429
CA
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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