ILEANA IVELISSE RIVERA

LAKELAND, FL
NPI1023759826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246RP1900X Technician, Pathology, Phlebotomy
(Licence: MA  3162-160-065-6023)
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
Ms. ILEANA IVELISSE RIVERA CPI
465 S GRADY AVE
LAKELAND, FL 33815-4017
Phone number: 863-660-4180
Mailing Address
Ms. ILEANA IVELISSE RIVERA CPI
805 N MASSACHUSETTS AVE STE 1
LAKELAND, FL 33801-1747
Phone number: 863-602-3085