Individual
JACLYN MAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4820 HARWOOD RD STE 100, SAN JOSE, CA 95124-5276
(707) 344-1771
Mailing address
1005 WESTCHESTER CT, FAIRFIELD, CA 94533-9775
(707) 344-1771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19145
CA
Other
Enumeration date
07/31/2024
Last updated
08/29/2024
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