Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003399320 |
---|---|
Provider Name | Abnet Nerelus |
First Address | West Palm Beach, FL 33401-2208 |
Second Address | West Palm Beach, FL 33401-2208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2018 |
Last Update Date | 12/09/2018 |