Iris Levon Gathers, CERTIFIED HAIR LOSS
NPI #1235628637 in Port St Joe, Florida
Provider Information
- NPI Number
- 1235628637
- Entity Type
- Individual
- Name
- Iris Levon Gathers, CERTIFIED HAIR LOSS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist - Prosthetics Case Management
- Credential
- CERTIFIED HAIR LOSS
- Enumeration Date
- May 2, 2018
- Last Updated
- May 2, 2018
Practice Location
- Address
- 200 REID AVE
- City
- Port St Joe
- State
- Florida
- ZIP Code
- 32456-1824
- Phone
- (850) 229-4247
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist - Prosthetics Case Management — Prosthetics Case Management |
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