Individual
MS. IDONIS VIDAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN 9430713
Contact information
Practice address
153 WILLOW AVE, ALTAMONTE SPRINGS, FL 32714-2117
(832) 820-5163
Mailing address
13750 SABLEGLEN ST, HOUSTON, TX 77014-2812
(832) 820-5163
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9430713
FL
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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