Individual
JILLIAN ENRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 W 1ST ST STE 336, CLAREMONT, CA 91711-4745
(909) 675-7022
Mailing address
250 W 1ST ST STE 336, CLAREMONT, CA 91711-4745
(909) 675-7022
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA5580
CA
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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