Genetta I Dallas LPN

NPI 1396918777 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1396918777
Gender Female
Enumeration Date 04/08/2008
Last Updated 02/15/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
4300 SW 13TH ST
GAINESVILLE FL, 32608-4006, US
Phone (352) 374-5600
Fax
Business Location
4300 SW 13TH ST
GAINESVILLE FL, 32608-4006, US
Phone (352) 374-5600
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Florida
License Number PN5176094
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According to our database, Genetta I Dallas LPN NPI is 1396918777, taxonomy code is 164W00000X and license number is PN5176094, license state is located at Florida. Genetta I Dallas LPN physically located at 4300 Sw 13th St, Gainesville FL, 32608-4006. NPI Number Genetta I Dallas LPN has the Individual type.

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1396918777 NPI number is provided on an as is basis without warranty of any kind. 1396918777 is maintained by the National Plan & Provider Enumeration System. The contents of Genetta I Dallas LPN are for informational purposes only.