Individual
BRIDGET NICHOLE ST GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 J J DR, PANAMA CITY, FL 32404-8359
(850) 867-6100
Mailing address
716 J J DR, PANAMA CITY, FL 32404-8359
(850) 867-6100
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
S326074845220
FL
251C00000X
Developmentally Disabled Services Day Training Agency
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Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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