Individual
MISS KIMBERLY MARIE VOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 LINCOLN AVE, VALPARAISO, FL 32580-1213
(850) 496-5302
Mailing address
311 LINCOLN AVE, VALPARAISO, FL 32580-1213
(850) 496-5302
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
10/15/2009
Last updated
10/15/2009
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