Individual
YOLANDA REVE NEWKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 FOWLER ST STE 8, FORT MYERS, FL 33901-2617
(239) 895-6172
Mailing address
4460 FOWLER ST STE 8, FORT MYERS, FL 33901-2617
(239) 895-6172
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CL1252574
FL
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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