Individual
MS. RESHINA RENEE RIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1725 FIFTH ST, DAYTONA BEACH, FL 32117-5107
(386) 274-4172
Mailing address
600 JIMMY ANN DR APT 1014, DAYTONA BEACH, FL 32114-1352
(386) 275-5559
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9542211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R200736871860
DRIVER LISCENSE
FL
Enumeration date
01/08/2021
Last updated
01/08/2021
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