Individual
JACQUELINE KAREN GAMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18363 VALLEY BLVD SPC 9, BLOOMINGTON, CA 92316-1756
(909) 258-6937
Mailing address
18363 VALLEY BLVD SPC 9, BLOOMINGTON, CA 92316-1756
(909) 258-6937
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18622
CA
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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