Natasha Mccullouth, | |
131 Deeyan Ave Nw, Palm Bay, FL 32907-6961 | |
(321) 728-7637 | |
Not Available |
Full Name | Natasha Mccullouth |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 131 Deeyan Ave Nw, Palm Bay, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205050317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | PN5151828 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Natasha Mccullouth, 131 Deeyan Ave Nw, Palm Bay, FL 32907-6961 Ph: () - | Natasha Mccullouth, 131 Deeyan Ave Nw, Palm Bay, FL 32907-6961 Ph: (321) 728-7637 |
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