Individual
GENETTA I DALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
808 NW WILSON ST, LAKE CITY, FL 32055-1867
(386) 292-4096
Mailing address
808 NW WILSON ST, LAKE CITY, FL 32055-1867
(386) 292-4096
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5176094
FL
Other
Enumeration date
04/08/2008
Last updated
02/21/2018
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