Jade Kenzie Elis
NPI #1396438081 in Chino, California
Provider Information
- NPI Number
- 1396438081
- Entity Type
- Individual
- Name
- Jade Kenzie Elis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Speech-Language Assistant
- Enumeration Date
- May 30, 2023
- Last Updated
- May 30, 2023
Practice Location
- Address
- 14850 CENTRAL AVE
- City
- Chino
- State
- California
- ZIP Code
- 91710-9509
- Phone
- (909) 597-0504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant |
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