Individual
SANDRA GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
601 LUDLAM DR APT 9, MIAMI SPRINGS, FL 33166-4971
(305) 721-7861
(786) 462-4330
Mailing address
601 LUDLAM DR APT 9, MIAMI SPRINGS, FL 33166-4971
(305) 721-7861
(786) 462-4330
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA109533
—
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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