Individual
SUZANNE MARIE GILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4621 HARTS BROOK LN, MULBERRY, FL 33860-7921
(813) 763-8725
Mailing address
4621 HARTS BROOK LN, MULBERRY, FL 33860-7921
(813) 763-8725
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
100077152
FL
3747P1801X
Personal Care Attendant
230235700
FL
Other
Enumeration date
12/24/2018
Last updated
04/20/2020
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