Individual
JAZZIME D GAINOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENST
Contact information
Practice address
3013 JIM LEE RD, TALLAHASSEE, FL 32301-7057
(850) 414-5560
(850) 414-5561
Mailing address
438 W BREVARD ST, TALLAHASSEE, FL 32301-1004
(850) 606-8226
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH25318
FL
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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