Individual
ELEZA MICHELE MARTORANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15336 LAKEVIEW CT, GULFPORT, MS 39503-8296
(619) 920-5902
Mailing address
15336 LAKEVIEW CT, GULFPORT, MS 39503-8296
(619) 920-5902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R899081
MS
Other
Enumeration date
04/19/2015
Last updated
04/19/2015
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