Individual
JASMINE MONET SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1166 W 16TH ST, SAN BERNARDINO, CA 92411-1458
(909) 520-2764
Mailing address
1166 W 16TH ST, SAN BERNARDINO, CA 92411-1458
(909) 520-2764
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6727
CA
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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