Individual
MS. ANNIE DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10829 SW 232ND ST, MIAMI, FL 33170-7535
(305) 321-0097
(305) 971-6551
Mailing address
10829 SW 232ND ST, MIAMI, FL 33170-7535
(305) 321-0097
(305) 971-6551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 3372
FL
Other
Enumeration date
04/06/2007
Last updated
07/09/2007
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