Individual
MR. HIRAM NIEVES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 HIBISCUS ST, PORT ST JOHN, FL 32927-8737
(321) 202-9347
Mailing address
1011 HIBISCUS ST, PORT ST JOHN, FL 32927-8737
(321) 202-9347
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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