Individual
MS. MARY AVA NUNNERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH ST APT 5, POMPANO BEACH, FL 33062-3564
(404) 694-7391
Mailing address
2708 NE 14TH ST APT 5, POMPANO BEACH, FL 33062-3564
(404) 694-7391
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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