Individual
MRS. ISIS SERENA GENTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HTL
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
Mailing address
9272 SWEET MAPLE AVE, ORLANDO, FL 32832-5668
(321) 332-5979
Taxonomy
Speciality
Code
Description
License number
State
246QH0600X
Histology Specialist/Technologist
Primary
TN41299
FL
Other
Enumeration date
10/28/2012
Last updated
10/28/2012
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