Individual
CHRISTINA BURCIAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
11512 LAKE MEAD AVE UNIT 604, JACKSONVILLE, FL 32256-9686
(904) 652-5408
Mailing address
7132 STONELION CIR, JACKSONVILLE, FL 32256-6049
(302) 771-4710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14426
FL
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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