Individual
GWENDOLYN IGLESIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4518 ETHAN WAY, PLANT CITY, FL 33563-8541
(863) 409-0755
Mailing address
4518 ETHAN WAY, PLANT CITY, FL 33563-8541
(863) 409-0755
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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