Individual
MISS STACY HELRETIRIA EHIGIATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 W MURPHY ST, DAVENPORT, FL 33837-9440
(863) 624-9030
Mailing address
118 W MURPHY ST, DAVENPORT, FL 33837-9440
(863) 624-9030
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
FL
Other
Enumeration date
07/19/2016
Last updated
11/02/2023
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