Individual
BANNY JASMINE JAEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 AIRPORT FWY STE 150, BEDFORD, TX 76022-6050
(817) 508-0038
Mailing address
7601 SIENNA RIDGE LN, FORT WORTH, TX 76131-5121
(352) 494-8860
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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