Individual
MRS. STARR HANCOCK GAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 WALKER DR, INTERLACHEN, FL 32148-4370
(386) 659-1622
Mailing address
403 WALKER DR, INTERLACHEN, FL 32148-4370
(386) 659-1622
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G500-788-56-510-0
FL
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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