Individual
MISS GABRIELLE GIOVININA PINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
307 SMITH ST, EASTPOINT, FL 32328-3521
(850) 227-4106
Mailing address
307 SMITH ST, EASTPOINT, FL 32328-3521
(850) 227-4106
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5169003
FL
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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