Individual
JACQUELINE DE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17500 MANA RD, APPLE VALLEY, CA 92307-2181
(760) 946-5414
Mailing address
17500 MANA RD, APPLE VALLEY, CA 92307-2181
(760) 946-5414
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
220110495
CA
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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