IVELISSE HERRERA

LAKE CITY, FL
NPI1578675906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT-0013258)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Mrs. IVELISSE HERRERA PT
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
Mailing Address
Mrs. IVELISSE HERRERA PT
4536 NW WISTERIA DR
LAKE CITY, FL 32055-4806
Phone number: 386-752-7542
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