Individual
JACQUELINE JARDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19070 AGNEW AVE, COTTONWOOD, CA 96022-9622
(530) 276-4944
Mailing address
19070 AGNEW AVE, COTTONWOOD, CA 96022-9622
(530) 276-4944
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22900
CA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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