JUDY STOVALL RIVENBARK

JACKSONVILLE, FL
NPI1851672372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084A0401X Psychiatry & Neurology, Addiction Medicine
(Licence: FL  ME81633)
Enumeration Date2011-08-30
Last Update Date2011-08-30
Business Address
-- JUDY STOVALL RIVENBARK M.D.
555 STOCKTON STREET
JACKSONVILLE, FL 32204
Phone number: 800-888-8776
Mailing Address
-- JUDY STOVALL RIVENBARK M.D.
POST OFFICE BOX 15580
FERNANDIDA BEACH, FL 32035
Phone number: 800-888-8776
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