Individual
MALIA JAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
509 W MCKINLEY AVE STE 3, MISHAWAKA, IN 46545-5564
(574) 703-1713
Mailing address
PO BOX 316, NORTH LIBERTY, IN 46554-0316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14086814
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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