Individual
MS. MARCEL REGINIA CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
340 CLOVERLEAF BLVD, DELTONA, FL 32725-6946
(321) 318-4194
Mailing address
340 CLOVERLEAF BLVD, DELTONA, FL 32725-6946
(321) 318-4194
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9429807
FL
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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