Gentle Sticks On Wheels

NPI #1184397713 in Fruitland Park, Florida

Provider Information

NPI Number: 1184397713
Entity Type: Organization
Organization Name: Gentle Sticks On Wheels
Primary Specialty: Technician
Enumeration Date: Jul 29, 2021
Last Updated: Sep 13, 2021

Practice Location

Address: 1829 FOREST GLEN DR
City: Fruitland Park
State: Florida
ZIP Code: 34731-6565
Phone: (352) 431-1193

Authorized Official

Name: ALYSHA PETTIS
Title: OWNER
Phone: (352) 431-1193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Pathology	246R00000X
Technician	374700000X	Primary

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