Individual
MRS. GRACE WAYNETTE RIVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
956 US HIGHWAY 27 SOUTH, MOORE HAVEN, FL 33471
(863) 946-0707
Mailing address
59 E PARK AVE. S.E., MOORE HAVEN, FL 33471
(863) 946-1548
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3410352
FL
Other
Enumeration date
10/25/2006
Last updated
08/10/2007
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