Christian Jerrard Edmonds

NPI #1063167658 in Seffner, Florida

Provider Information

NPI Number
1063167658
Entity Type
Individual
Name
Christian Jerrard Edmonds
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Feb 13, 2022
Last Updated
Feb 13, 2022

Practice Location

Address
11721 MANGO GROVES BLVD
State
Florida
ZIP Code
33584-6405
Phone
(813) 500-8919

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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