Individual
JACKELINE CRISTINA MENENDEZ ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
450 STANYAN ST, SAN FRANCISCO, CA 94117-1019
(000) 000-0000
Mailing address
11 PRAGUE ST, SAN MATEO, CA 94401-1310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18191
CA
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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