AILISSA TEKLA RETALIC

DELAND, FL
NPI1417847492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  11040778)
Enumeration Date2025-07-09
Last Update Date2025-07-09
Business Address
AILISSA TEKLA RETALIC APRN
1826 WHIPPOORWILL LN
DELAND, FL 32720-2103
Phone number: 386-490-7537
Mailing Address
AILISSA TEKLA RETALIC APRN
1826 WHIPPOORWILL LN
DELAND, FL 32720-2103
Phone number: 386-490-7537