NPI 1194167833

Linda Zoraida Gensaw, NONE

Practitioner Private Vehicle Crown Point, IN

Practice location

Address: 12406 Cedar Lake Rd, Crown Point, IN 46307-8736
Phone: (773) 818-8060

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 1830-23-8598 (IN)

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Registry record

NPI: 1194167833
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2013
Record last updated: 23 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.