Organization
KIMBERLEY GALLET DE ST AURIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY GALLET DE ST AURIN (ITDS)
(954) 309-6490
Entity
Organization
Contact information
Practice address
2817 NW 41ST PL, GAINESVILLE, FL 32605-1543
(954) 309-6490
Mailing address
2817 NW 41ST PL, GAINESVILLE, FL 32605-1543
(954) 309-6490
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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