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Mrs. Ethel Harriet Stevens
Lodging Provider in Jupiter, Florida
NPI 1437390291

Ethel Harriet Stevens is a Lodging Provider based in Jupiter, FL. Ethel Harriet Stevens practices in Jupiter, FL. The NPI Number for Ethel Harriet Stevens is 1437390291 and holds a License No. (Florida).

The current practice location address for Ethel Harriet Stevens is 12365 152Nd St N, Jupiter, FL and can be reached out via phone at 561-222-6503.

Location: 12365 152Nd St N, Jupiter, FL, 33478-3558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437390291
Provider Name
Ethel Harriet Stevens
Credential
Provider Entity Type
Individual
Gender
Female
Address
12365 152Nd St N, Jupiter, FL, 33478-3558
Phone Number
561-222-6503
Fax Number
Provider Enumeration Date
03/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23928849 05 FL
institution
Provider Business Practice Location Address Details
Address
12365 152Nd St N
City
Jupiter
State
Florida
Zip
33478-3558
Phone Number
561-222-6503
Fax Number
person
Provider Business Mailing Address Details
Address
12365 152Nd St N
City
Jupiter
State
Florida
Zip
33478-3558
Phone Number
561-222-6503
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
()
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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