Individual
JACKELINE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 18TH ST, SACRAMENTO, CA 95811-1007
(916) 395-4760
Mailing address
1730 27TH ST APT 10, SACRAMENTO, CA 95816-6954
(916) 757-7620
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4381
CA
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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