Individual
GASNA ALADIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 SW RIVERA ST, PORT ST LUCIE, FL 34953-3763
(516) 943-2579
(772) 877-2914
Mailing address
3425 SW RIVERA ST, PORT ST LUCIE, FL 34953-3763
(516) 943-2579
(772) 877-2914
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
04/13/2022
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