Individual
EDDA RAVELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 KIRK RD, WEST PALM BEACH, FL 33406-4961
(561) 329-0301
Mailing address
1325 KIRK RD, WEST PALM BEACH, FL 33406-4961
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA33846
FL
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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