JACLYN PARK

AUSTIN, TX
NPI1609189315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  105397)
Enumeration Date2010-07-22
Last Update Date2010-07-22
Business Address
-- JACLYN PARK
4607 MANCHACA RD
AUSTIN, TX 78745-1607
Phone number: 512-916-1511
Mailing Address
-- JACLYN PARK
4607 MANCHACA RD
AUSTIN, TX 78745-1607
Phone number: 512-916-1511