Individual
MRS. JENEY MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 RIDGE RD # A, ROCKWALL, TX 75087-4242
(972) 722-7016
Mailing address
962 WISPERWOOD DR, ROCKWALL, TX 75087-2288
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
31471
TX
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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