Individual
BARBARA KUMMERLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 GATOR TRACE RD, FORT PIERCE, FL 34982-6823
(772) 489-6309
Mailing address
4040 GATOR TRACE RD, FORT PIERCE, FL 34982-6823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 1302972
FL
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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