Individual
EILEEN RIFKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 MONTICELLO AVE # 210, DALLAS, TX 75205-3442
(817) 529-8514
Mailing address
4613 TUCSON CT, VALRICO, FL 33594-9315
(813) 408-3089
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1111111111
NOT APPLICABLE
—
Enumeration date
03/24/2021
Last updated
03/24/2021
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