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Individual

GISELLA DEJESUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7819 N DALE MABRY HWY STE 108, TAMPA, FL 33614-3210
(813) 538-0149
Mailing address
7819 N DALE MABRY HWY STE 108, TAMPA, FL 33614-3210
(813) 538-0149

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11018433
FL

Other

Enumeration date
03/02/2022
Last updated
10/02/2024
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