Individual
MRS. JACLYN MARIE SHASHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
41176 GUAVA ST. SUITE A, MURRIETA, CA 92562
(951) 660-2961
Mailing address
40055 TINDERBOX WAY, MURRIETA, CA 92562
(951) 660-2961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
235Z00000X
Speech-Language Pathologist
21834
CA
261QH0700X
Hearing and Speech Clinic/Center
Primary
21834
—
Other
Enumeration date
01/15/2013
Last updated
10/19/2023
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