Individual
JAMIE LOU MEJORADA SABELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC- SLP
Contact information
Practice address
1760 W 16TH ST, SAN BERNARDINO, CA 92411-1160
(909) 787-2644
Mailing address
6418 COLD MOUNTAIN WAY, SAN BERNARDINO, CA 92407-5197
(909) 362-2265
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14145106
CA
235Z00000X
Speech-Language Pathologist
Primary
27767
CA
Other
Enumeration date
04/17/2020
Last updated
05/26/2020
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