Individual
MS. JACKULINE D FLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24442 VALENCIA BLVD, VALENCIA, CA 91355-1825
(661) 312-3905
Mailing address
24442 VALENCIA BLVD, VALENCIA, CA 91355-1825
(661) 312-3905
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34101
CA
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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