JACQLYN QUINTINA WAX

MISSION VIEJO, CA
NPI1063033611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSB94024446)
Enumeration Date2020-05-05
Last Update Date2020-05-05
Business Address
JACQLYN QUINTINA WAX Psy.D
27201 PUERTA REAL STE 300
MISSION VIEJO, CA 92691-8590
Phone number: 949-354-4147
Mailing Address
JACQLYN QUINTINA WAX Psy.D
1206 BLUE SKY DR
CARDIFF, CA 92007-1005
Phone number: 858-213-7243