Individual
EUNICE GWANMESIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(888) 458-3620
Mailing address
128 FIELDBROOK DR, MAGNOLIA, DE 19962-1476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0027034
DE
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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