Individual
JEANA GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5736 N TRYON ST STE 223A, CHARLOTTE, NC 28213-0820
(170) 481-7925
Mailing address
5736 N TRYON ST STE 223A, CHARLOTTE, NC 28213-0820
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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