Individual
JACQUELINE COROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 LINCOLN PARK AVE APT 14, LOS ANGELES, CA 90031-3164
(323) 365-0273
Mailing address
2107 LINCOLN PARK AVE APT 14, LOS ANGELES, CA 90031-3164
(323) 365-0273
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7440
CA
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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