Individual
ESTEPHANIA RIVASPLATA VIGNOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6807
(717) 531-4144
Mailing address
8000 WEST DR APT 301, NORTH BAY VILLAGE, FL 33141-5597
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9111871
FL
363A00000X
Physician Assistant
Primary
MA065523
PA
Other
Enumeration date
01/17/2019
Last updated
07/15/2024
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