MALISSA ANN RICHTER

JACKSONVILLE, FL
NPI1609407428
Former NameMALISSA ANN DETWILER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11005262)
Enumeration Date2020-01-30
Last Update Date2020-05-13
Business Address
MALISSA ANN RICHTER APRN
5978 POWERS AVE
JACKSONVILLE, FL 32217-2210
Phone number: 904-339-2525
Mailing Address
MALISSA ANN RICHTER APRN
5978 POWERS AVE
JACKSONVILLE, FL 32217-2210
Phone number: 904-399-2525
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