Individual
CAMELLA LATASHA STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10245 RISING MIST LN, JACKSONVILLE, FL 32221-3006
(904) 238-1796
Mailing address
10245 RISING MIST LN, JACKSONVILLE, FL 32221-3006
(904) 238-1796
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9606414
FL
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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