Individual
GESSICA VILMA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 13TH ST N, JACKSONVILLE BEACH, FL 32250-3682
(727) 741-3405
Mailing address
12655 AGATITE RD, JACKSONVILLE, FL 32258-2303
(904) 588-5296
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11470
FL
Other
Enumeration date
03/30/2014
Last updated
03/30/2014
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