LIANNE REVILLA

MIAMI, FL
NPI1184496531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN11029453)
Enumeration Date2023-10-27
Last Update Date2024-04-17
Business Address
LIANNE REVILLA APRN
4820 SW 87TH AVE
MIAMI, FL 33165-6703
Phone number: 786-395-5284
Mailing Address
LIANNE REVILLA APRN
4820 SW 87TH AVE
MIAMI, FL 33165-6703
Phone number: 786-395-5284
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