Individual
JACQUELYN TINOCO RANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7152 W FOREST GROVE AVE, PHOENIX, AZ 85043-7300
(623) 251-1782
Mailing address
7152 W FOREST GROVE AVE, PHOENIX, AZ 85043-7300
(623) 251-1782
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
16505
AZ
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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