Individual
LOURDES GAMBINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12036 SUAVE LN, HUDSON, FL 34669-3329
(727) 856-9174
Mailing address
12036 SUAVE LN, HUDSON, FL 34669-3329
(727) 856-9174
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
6906314
FL
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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