| NPI | 1184797920 |
|---|---|
| Other Name | JEANNE ANN GUNNELS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL L05000086822) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |