KHADIJAH VICTORIA ROSE

BROOKSVILLE, FL
NPI1679115422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
Enumeration Date2019-10-14
Last Update Date2019-10-14
Business Address
KHADIJAH VICTORIA ROSE B.A SLPA
297 N BROAD ST
BROOKSVILLE, FL 34601-2925
Phone number: 352-796-0069
Mailing Address
KHADIJAH VICTORIA ROSE B.A SLPA
1955 CRAPE MYRTLE LOOP APT 102
LUTZ, FL 33549-4011
Phone number: 561-713-3308
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