Individual
JAY MICHAEL TELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA-SLPA
Contact information
Practice address
1638 B ST, HAYWARD, CA 94541-3020
(510) 639-2929
Mailing address
1638 B ST, HAYWARD, CA 94541-3020
(510) 639-2929
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6949
CA
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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