Individual
JESSICA MACIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 N 1ST ST STE 112 124, FRESNO, CA 93726-6818
(855) 343-1057
Mailing address
3636 N 1ST ST STE 112 124, FRESNO, CA 93726-6818
(855) 343-1057
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
05/27/2025
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