Individual
GUILLERMINA JAIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 S HOLLANDTOWN RD, WAUCHULA, FL 33873-4469
(863) 245-9821
Mailing address
PO BOX 1883, WAUCHULA, FL 33873-1883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8067
FL
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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