Individual
KIERSTEN ASHLEIGH DE LA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10325 SW 20TH ST, DAVIE, FL 33324-7428
(954) 474-5577
Mailing address
10325 SW 20TH ST, DAVIE, FL 33324-7428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9439898
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11024128
FL
Other
Enumeration date
07/06/2021
Last updated
03/31/2023
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