Individual
TONI DENISE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
915 BRIDGE ST, WINSTON SALEM, NC 27101-1162
(133) 641-4017
(336) 608-4040
Mailing address
611 FIELD CROSSING CT, WINSTON SALEM, NC 27107-6896
(336) 414-0173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5248275
FL
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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