Individual
MILENA TELLECHEA CASANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
761 SANTO DOMINGO AVE SW, PALM BAY, FL 32908
(305) 878-3037
Mailing address
761 SANTO DOMINGO AVE SW, PALM BAY, FL 32908-7427
(305) 878-3037
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9331120
FL
Other
Enumeration date
07/19/2016
Last updated
09/03/2024
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