Search › Florida › 164W00000X

Genetta Dallas, LPN

NPI 1396918777 · on the registry since 2008 · sole proprietor

Practice

Address
808 Nw Wilson St
Lake City, FL 32055
Phone
(386) 292-4096

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida