Individual
MRS. ALESIA SOMERVILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95-1018 KAHAKIKI ST, MILILANI, HI 96789-5597
(813) 777-4754
Mailing address
95-1018 KAHAKIKI ST, MILILANI, HI 96789-5597
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5190039
FL
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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