Individual
LUCIE DELVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
214 S 1ST ST, HAINES CITY, FL 33844-5104
(407) 416-4759
Mailing address
214 S 1ST ST, HAINES CITY, FL 33844-5104
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5217370
FL
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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