Individual
FAYETH OLIVIA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 993-4601
(863) 491-7598
Mailing address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 993-4601
(863) 491-7598
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5231871
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PN5231871
—
FL
Enumeration date
08/09/2022
Last updated
08/09/2022
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