IMMACULEE NYIRASUKU

ORANGE PARK, FL
NPI1568942092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  RN9365710)
Enumeration Date2018-08-15
Last Update Date2018-08-15
Business Address
-- IMMACULEE NYIRASUKU ARNP
3205 BEAR RUN BLVD
ORANGE PARK, FL 32065-7334
Phone number: 414-331-0919
Mailing Address
-- IMMACULEE NYIRASUKU ARNP
3205 BEAR RUN BLVD
ORANGE PARK, FL 32065-7334
Phone number: 414-331-0919