Individual
JENNYCA MOISEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S FLORIDA AVE, LAKELAND, FL 33801-5229
(863) 268-2608
Mailing address
503 MAJESTIC GARDENS BLVD, WINTER HAVEN, FL 33880-5737
(863) 662-7321
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI7180
FL
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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