Liliya Heretsun-Roussonicolos
Liliya Heretsun-Roussonicolos is a Durable Medical Equipment & Medical Supplies in Port St Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2020
Practice location Address checks out
1488 SE Village Green DrPort St Lucie, FL 34952-3411
Phone: (722) 301-1497
Fax: (321) 676-8508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X (FL) |
|---|
Record details
| NPI number | 1407464506 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 15, 2020 |
| Last updated in NPPES | October 9, 2020 |
| Certification date | October 9, 2020 |
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