SearchCalifornia103T00000X

Jillian Tague, MA, ED.S

NPI 1447027628 · on the registry since 2023 · sole proprietor

Practice

Address
8882 Bellshire Dr
Huntington Beach, CA 92646
Phone
(714) 330-8277

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
103TS0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California