Individual
EDNA NIVIOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 VIA JARDIN, RIVIERA BEACH, FL 33418-7800
(813) 777-8696
Mailing address
1016 VIA JARDIN, RIVIERA BEACH, FL 33418-7800
(813) 777-8696
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
13871
FL
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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