Individual
JENIFER TUMMENELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4780 N 9TH AVE, PENSACOLA, FL 32503-2466
(850) 530-7767
Mailing address
4780 N. 9TH AVE., PENSACOLA, FL 32503
(850) 530-7767
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906747
FL
Other
Enumeration date
07/09/2015
Last updated
07/10/2015
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