Individual
SIMONE C CHARISSE REDDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11407 IVY FLOWER LOOP, RIVERVIEW, FL 33578-9473
(813) 712-0663
Mailing address
11407 IVY FLOWER LOOP, RIVERVIEW, FL 33578-9473
(813) 712-0663
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN9326074
FL
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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