Individual
KANESHA GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6421 N FLORIDA AVE # D-593, TAMPA, FL 33604-6007
(813) 551-1219
(813) 331-3491
Mailing address
6421 N FLORIDA AVE # D-593, TAMPA, FL 33604-6007
(813) 551-1219
(813) 331-3491
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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