SANDRA JARVIS

PORT ORANGE, FL
NPI1083052104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.005798)
Enumeration Date2013-06-11
Last Update Date2013-06-11
Business Address
-- SANDRA JARVIS
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
Mailing Address
-- SANDRA JARVIS
402 N BEADLE DR
CARBONDALE, IL 62901-1070
Phone number: