MIKAELA LUGENE JOLLY

CLAREMONT, CA
NPI1770041667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2019-03-09
Last Update Date2019-03-09
Business Address
MIKAELA LUGENE JOLLY CF-SLP
1490 N CLAREMONT BLVD
CLAREMONT, CA 91711-3519
Phone number: 909-626-0900
Mailing Address
MIKAELA LUGENE JOLLY CF-SLP
2265 5TH ST
LA VERNE, CA 91750-4516
Phone number: 909-767-1029