Individual
ANGELA M PRIDGEON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
7026 VIDA LN, JACKSONVILLE, FL 32222-1785
(904) 573-0727
Mailing address
7026 VIDA LN, JACKSONVILLE, FL 32222-1785
(904) 573-0727
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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