DEVORA DIONNE FEDRICK

RIVERVIEW, FL
NPI1699251959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: FL  ARNP9411595)
Enumeration Date2018-07-19
Last Update Date2021-06-08
Business Address
DEVORA DIONNE FEDRICK
3140 S FALKENBURG RD
RIVERVIEW, FL 33578-2574
Phone number: 813-660-7150
Mailing Address
DEVORA DIONNE FEDRICK
3140 S FALKENBURG RD
RIVERVIEW, FL 33578-2574
Phone number: 813-660-7150
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