Individual
GEANNINE VANLEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N MOORE ST APT A, BUNNELL, FL 32110-8069
(386) 864-9260
Mailing address
500 N MOORE ST APT A, BUNNELL, FL 32110-8069
(386) 864-9260
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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