Individual
SUSAN GAITHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4611 ARDALE ST, SARASOTA, FL 34232-4019
(941) 376-2125
Mailing address
4611 ARDALE ST, SARASOTA, FL 34232-4019
(941) 376-2125
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
372600000X
FL
Other
Enumeration date
03/20/2010
Last updated
03/20/2010
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