Individual
MRS. AQUILLA GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 SW 29TH WAY, FORT LAUDERDALE, FL 33312-2848
(954) 588-3844
Mailing address
1010 SW 29TH WAY, FORT LAUDERDALE, FL 33312-2848
(954) 588-3844
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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