Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | C52523 | FL |
NPI | 1245817709 |
---|---|
Provider Name | Mrs. Gemma Reyes Arandia |
First Address | Gainesville, FL 32608-1135 |
Second Address | Gainesville, FL 32608-1197 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2021 |
Last Update Date | 29/03/2021 |