Individual
MS. EVONYA CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
9355 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5503
(904) 739-6680
Mailing address
3034 DONNA DRIVE, JACKSONVILLE, FL 32208
(904) 477-8801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA4346
FL
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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