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Liliya Heretsun-Roussonicolos
NPI 1407464506 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1488 Se Village Green Dr
Port St Lucie, FL 34952 - Phone
- (722) 301-1497
- Fax
- (321) 676-8508
Registry record
- Primary taxonomy
- Durable Medical Equipment & Medical Supplies
332B00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida