Individual
JACQUELINE OLVERA KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43900 MAYBERRY AVE, HEMET, CA 92544-6634
(961) 927-0800
Mailing address
26180 CORTE TECOLOTE, HEMET, CA 92544-6576
(951) 692-6118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
32750
CA
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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