GWENDOLYN MARIE SPONG

ST. AUGUSTINE, FL
NPI1568954576
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN9350043)
Enumeration Date2018-06-05
Last Update Date2020-03-12
Business Address
GWENDOLYN MARIE SPONG APRN
2703 N PONCE DE LEON BLVD. MINUTE CLINIC #3591, AREA 4, REGION 46
ST. AUGUSTINE, FL 32084
Phone number: 904-824-2838
Mailing Address
GWENDOLYN MARIE SPONG APRN
2703 N PONCE DE LEON BLVD
ST AUGUSTINE, FL 32084-2603
Phone number: 904-415-9135