Individual
JAIME SPANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1400 E PALOMAR ST, CHULA VISTA, CA 91913-1800
(858) 586-6823
Mailing address
1400 E PALOMAR ST, CHULA VISTA, CA 91913-1800
(858) 586-6823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17471
CA
Other
Enumeration date
11/21/2009
Last updated
08/31/2011
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