Individual
JACQUELINE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 HUNTINGTON DR, SOUTH PASADENA, CA 91030-4511
(323) 622-0753
Mailing address
1317 HUNTINGTON DR., SOUTH PASADENA, CA 91030-4511
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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