Individual
KELLIE N MUFALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25090 DIVOT DR, BONITA SPRINGS, FL 34135-6730
(239) 848-0055
Mailing address
25090 DIVOT DR, BONITA SPRINGS, FL 34135-6730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9547044
FL
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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