| NPI | 1275628760 |
|---|---|
| Former Name | MARY JEANNE VELLELA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP3135372) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-01-06 |