Individual
KELLEY MANZANILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11685 CANAL DR APT 201, NORTH MIAMI, FL 33181-3228
(786) 281-6390
Mailing address
11685 CANAL DR APT 201, NORTH MIAMI, FL 33181-3228
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
RN9492001
FL
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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