Individual
SAMERIA L HALIBURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W 5TH ST, RIVIERA BEACH, FL 33404-7408
(561) 702-8574
Mailing address
800 W 5TH ST, RIVIERA BEACH, FL 33404-7408
(561) 702-8574
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
L20000190038
FL
Other
Enumeration date
06/17/2021
Last updated
07/14/2021
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