AILISSA TEKLA RETALIC

DEBARY, FL
NPI1417847492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  11040778)
Enumeration Date2025-07-09
Last Update Date2025-12-09
Business Address
AILISSA TEKLA RETALIC APRN
110 POND CT STE 201
DEBARY, FL 32713-2717
Phone number: 386-317-8635
Mailing Address
AILISSA TEKLA RETALIC APRN
1826 WHIPPOORWILL LN
DELAND, FL 32720-2103
Phone number: 386-490-7537
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