Individual
THRESIAMMA KUNNUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 825-1100
Mailing address
1124 85TH TER N APT D, ST PETERSBURG, FL 33702-3315
(727) 599-4512
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9340350
FL
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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