Individual
GERTRUDE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12344 HOLLY JANE CT, ORLANDO, FL 32824-5841
(407) 350-8362
Mailing address
12344 HOLLY JANE CT, ORLANDO, FL 32824-5841
(407) 350-8362
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
594047
—
FL
Enumeration date
05/03/2016
Last updated
05/03/2016
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