Doctor Name: | MS. ESTER LLARINAS GAMBOA |
NPI Number: | 1023208873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP2605142 |
Business Practice Address: | 619 S Marion Ave Lake City, FL - 320255808 |
Business Phone Number: | 3867553016 |
Business Fax Number: | 3867546456 |
Mailing Address: | 126 Nw Wiregrass Ct, LAKE CITY |
State: | FL |
Postal Code: | 320557258 |
Phone Number: | 3867588575 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2007 |
NPI Last Update Date: | 07/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | ARNP2605142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |