Individual
SUN O MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
22928 EAGLES WATCH DR, LAND O LAKES, FL 34639-4787
(813) 929-0733
Mailing address
22928 EAGLES WATCH DR, LAND O LAKES, FL 34639-4787
(813) 929-0733
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA62341
FL
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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