Individual
GINA FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 RALSTON AVE, DEFIANCE, OH 43512-1396
(419) 783-6955
Mailing address
2906 LEON CV, FORT WAYNE, IN 46845-0085
(915) 472-2769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28262987A
IN
163W00000X
Registered Nurse
28262987C
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
4704398418
MI
Other
Enumeration date
11/25/2020
Last updated
04/01/2024
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