Most Relevant Information
Provider Data
| NPI Number: | 1003580028 |
| Provider Name: | JACQUELYN JARACHOVIC |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SP-2037 |
Most Important Dates
| Enumeration Date: | 08/03/2021 |
| Last Updated: | 08/03/2021 |
Provider Practice Location
1519 QUEEN EMMA ST
HONOLULU
HI
968132002
Practice Location Phone/Fax
| Phone: | 8085874510 |
| Fax: |
Provider Mailing Location
3888 MONTEREY DR
HONOLULU
HI
968163903
Provider Mailing Phone/Fax
| Phone: | 4405205057 |
| Fax: |