Individual
JAMIE DINGIANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
I.T.D.S.
Contact information
Practice address
412 TORTOISE TRCE, SAINT JOHNS, FL 32259-5458
(904) 910-3847
(904) 230-2219
Mailing address
412 TORTOISE TRACE, ST JOHNS, FL 32259
(904) 910-3847
(904) 230-2219
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/07/2008
Last updated
05/13/2010
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