Individual
ANGELA MARIE SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14030 IVYLGAIL DR N, JACKSONVILLE, FL 32225-2024
(904) 208-8045
Mailing address
14030 IVYLGAIL DR N, JACKSONVILLE, FL 32225-2024
(904) 208-8045
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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