AMY DOMICO

ST AUGUSTINE, FL
NPI1285973651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA11072)
Enumeration Date2013-02-05
Last Update Date2019-08-19
Business Address
AMY DOMICO
2 COLEMAN DR
ST AUGUSTINE, FL 32084-2873
Phone number: 279-671-0367
Mailing Address
AMY DOMICO
2 COLEMAN DR
ST AUGUSTINE, FL 32084-2873
Phone number: