Individual
JAIMIE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39899 BALENTINE DR STE 128, NEWARK, CA 94560-5361
(650) 931-6300
Mailing address
39899 BALENTINE DR STE 128, NEWARK, CA 94560-5361
(650) 931-6300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
29208
CA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/30/2019
Last updated
09/12/2022
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