Individual
DR. TATYANA NEKTALOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 S OCEAN BLVD, MANALAPAN, FL 33462
(561) 206-4452
Mailing address
205 S OCEAN BLVD, MANALAPAN, FL 33462
(561) 206-4452
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME153756
FL
Other
Enumeration date
04/17/2014
Last updated
01/18/2024
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