Individual
STEPHANIE RIVADENEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8646 PEGASUS DR, LEHIGH ACRES, FL 33971-3764
(239) 210-8939
Mailing address
8646 PEGASUS DR, LEHIGH ACRES, FL 33971-3764
(239) 210-8939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9452821
FL
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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