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GENEVA J ANDERSON
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1114028073
Individual Registrant: GENEVA J ANDERSON
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1955 US 1 SOUTH SUITE 100 SAINT AUGUSTINE, FL 32086-5788 US
Tel: 904-825-5055 Fax: 904-825-5008
Tel: 904-825-5055 Fax: 904-825-5008
Contact information for business:
1955 US 1 SOUTH SUITE 100 SAINT AUGUSTINE, FL 32086-5788 US
Tel: 904-825-5055 Fax: 904-825-5008
Tel: 904-825-5055 Fax: 904-825-5008
Registration Information:
NPI: 1114028073
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
