KATHERINE CLARICE VITELLO

SOUTHLAKE, TX
NPI1285366690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-06-26
Last Update Date2024-03-04
Business Address
KATHERINE CLARICE VITELLO
505 S NOLEN DR
SOUTHLAKE, TX 76092-9167
Phone number: 817-697-0253
Mailing Address
KATHERINE CLARICE VITELLO
PO BOX 917770
ORLANDO, FL 32891-0001
Phone number:
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