Individual
IKIRA BOUVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4190 PLANTATION OAKS BLVD UNIT 1434, ORANGE PARK, FL 32065-3541
(225) 223-5480
Mailing address
4190 PLANTATION OAKS BLVD UNIT 1434, ORANGE PARK, FL 32065-3541
(225) 223-5480
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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