Individual
JESSICA MARIE CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 BURNS AVE, LAKE WALES, FL 33853-3335
(863) 679-3338
Mailing address
706 LAKE CUMMINGS BLVD, LAKE ALFRED, FL 33850-2644
(787) 901-8104
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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