Individual
EDEN NEVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3620 SE 54TH AVE, OCALA, FL 34480-1390
(305) 915-9389
Mailing address
3620 SE 54TH AVE, OCALA, FL 34480-1390
(305) 915-9389
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-82864
FL
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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