Individual
JACKLYN JOAN EGNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, NCMMT
Contact information
Practice address
14438 UNION AVE, SAN JOSE, CA 95124-2815
(408) 799-2666
Mailing address
14438 UNION AVE, SAN JOSE, CA 95124-2815
(408) 799-2666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/29/2007
Last updated
09/29/2007
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