Jamie Eustice
Speech-Language Pathologist, in San Diego, CA. Individual provider (NPI-1).
NPI number1639824949
StatusActive
Last updated in NPPESAug 11, 2022
Details
- NPI
- 1639824949
- Entity type
- Individual (NPI-1)
- Name
- Jamie Eustice
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 15, 2022
- Certification date
- Aug 11, 2022
- Last updated
- Aug 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 29305 | CA | Yes |
Practice location
5251 Viewridge CtSan Diego, CA 92123-1612
Phone 833-574-2273
Mailing address
3135 Boundary StSan Diego, CA 92104-4702
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