Individual
JESSY KULANGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 W MLK BLVD, TAMPA, FL 33607-6308
(813) 453-2867
Mailing address
311 HARTS OAK PL, SEFFNER, FL 33584-4769
(813) 453-2867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1749262
FL
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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