Individual
ADA GAINZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10650 W STATE ROAD 84, SUITE 206, DAVIE, FL 33324-4235
(954) 634-3636
(954) 634-3637
Mailing address
1510 NE 51ST ST, FORT LAUDERDALE, FL 33334-5710
(954) 864-6746
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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