Individual
GINA CHRISTINE PAETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS CAP
Contact information
Practice address
3763 EVANS AVE, FT. MYERS, FL 33901
(239) 931-9811
Mailing address
3763 EVANS AVE, FT. MYERS, FL 33901
(239) 931-9811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591287693
—
FL
Enumeration date
07/22/2013
Last updated
07/22/2013
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