Individual
LISSETTE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
374 SW KESTOR DR, PORT SAINT LUCIE, FL 34953-5515
(917) 531-3054
Mailing address
374 SW KESTOR DR, PORT SAINT LUCIE, FL 34953-5515
(917) 531-3054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9401688
FL
Other
Enumeration date
07/07/2015
Last updated
06/03/2022
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