Individual
JACQUELINE TOMELLOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 MALL BLVD, SAVANNAH, GA 31406-4805
(912) 201-8000
Mailing address
709 MALL BLVD, SAVANNAH, GA 31406-4805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN326815
GA
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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