Individual
JACLYN SALCIDO TELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3980 STATE SCHOOL RD, DENTON, TX 76210-8823
(940) 591-3646
Mailing address
11704 HAMPTONBROOK DR, MCKINNEY, TX 75071-6119
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211300
TX
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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