Individual
TERRELL GENE SLETTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 PECK AVE, FORT MYERS, FL 33919-3124
(239) 482-2145
(866) 728-6060
Mailing address
660 PECK AVE, FORT MYERS, FL 33919-3124
(239) 482-2145
(866) 728-6060
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
CGC058279
FL
Other
Enumeration date
04/25/2013
Last updated
09/10/2019
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