Individual
MRS. LAUREN RILEY SUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 RICKER AVE, SANTA ROSA BEACH, FL 32459-5550
(850) 797-2728
Mailing address
131 RICKER AVE, SANTA ROSA BEACH, FL 32459-5550
(850) 797-2728
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
07/29/2013
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