Dallas, Genetta I

Dallas, Genetta I is an sole proprietor health care provider with primary practice located at 808 Nw Wilson St , Lake City FL 32055-1867. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Dallas, Genetta I can be contacted via phone (386) 292-4096.

Contact Information

Primary practice address
808 Nw Wilson St Lake City FL 32055-1867
Phone: (386) 292-4096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5176094 Florida

Profile Details

NPI number 1396918777
LBN Legal business name Dallas, Genetta I
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2008
Last updated Feb 21st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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