Individual
JAQUELINNE HENRIQUEZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5595 HUNTINGTON DR N APT 10, LOS ANGELES, CA 90032-1362
(323) 576-2938
Mailing address
916 S CARONDELET ST APT 10, LOS ANGELES, CA 90006-1967
(424) 382-5941
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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