Individual
NINETTE MAMCZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.
Contact information
Practice address
400 BARTON BLVD, SUITE 201, ROCKLEDGE, FL 32955-2710
(321) 633-1400
(321) 799-8306
Mailing address
400 BARTON BLVD, SUITE 201, ROCKLEDGE, FL 32955-2710
(321) 633-1400
(321) 799-8306
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 1588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DOC 1057564
ACUPUNCTURIST
FL
Enumeration date
02/27/2007
Last updated
07/08/2007
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