Individual
LORI GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2619 EDMUND DR, GULF BREEZE, FL 32563-3708
(850) 207-8533
Mailing address
2619 EDMUND DR, GULF BREEZE, FL 32563-3708
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
01/02/2019
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