Individual
GLENDA IVELISSE NIEVES GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16606 SW 45TH CIR, OCALA, FL 34473-3610
(352) 734-1575
Mailing address
16606 SW 45TH CIR, OCALA, FL 34473-3610
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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