Individual
MRS. MURLETA ADELLA SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 PEACE DR, KISSIMMEE, FL 34759-5350
(863) 496-0015
Mailing address
519 PEACE DR, KISSIMMEE, FL 34759-5350
(863) 496-0015
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5198444
FL
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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