Individual
GERTRUDE METELLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5031 HERON CT, COCONUT CREEK, FL 33073-2413
(954) 234-4125
Mailing address
5031 HERON CT, COCONUT CREEK, FL 33073-2413
(954) 234-4125
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5151800
FL
164X00000X
Licensed Vocational Nurse
VN684421
CA
Other
Enumeration date
07/09/2016
Last updated
07/09/2016
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