Individual
ANNEMARIE LYN PATERNOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12276 SAN JOSE BLVD, JACKSONVILLE, FL 32223-8628
(904) 288-8910
Mailing address
12276 SAN JOSE BLVD, JACKSONVILLE, FL 32223-8628
(904) 288-8910
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/29/2010
Last updated
07/16/2013
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