Andrea Marie Gentry, LPN

NPI #1104569383 in Caldwell, Idaho

Provider Information

NPI Number
1104569383
Entity Type
Individual
Name
Andrea Marie Gentry, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 15, 2022
Last Updated
Apr 15, 2022

Practice Location

Address
4521 THOMAS JEFFERSON ST
State
Idaho
ZIP Code
83605-5100
Phone
(208) 454-4820

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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