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Individual

JACQUELINE GERARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5762 BOLSA AVE, SUITE 101, HUNTINGTON BEACH, CA 92649-1172
(714) 292-2322
(714) 866-4153
Mailing address
5762 BOLSA AVE, SUITE 101, HUNTINGTON BEACH, CA 92649-1172
(714) 292-2322
(714) 866-4153

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP12371
CA

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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