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Individual

FELISTAS W GATUNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4051 OGLETOWN RD, NEWARK, DE 19713-3101
(302) 397-4361
Mailing address
279 COLDWATER DR, CLAYTON, DE 19938-3917
(302) 397-4361

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0001054
DE

Other

Enumeration date
10/04/2017
Last updated
10/04/2017
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