Individual
SUJEN A GENTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
871 W OAKLAND PARK BLVD, WILTON MANORS, FL 33311-1731
(305) 576-1234
Mailing address
9272 NW 49TH PL, SUNRISE, FL 33351-5200
(954) 274-3327
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5217588
FL
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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