Most Relevant Information
Provider Data
| NPI Number: | 1003385659 |
| Provider Name: | BALVENIA SUE TREVINO RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0200X |
| Specialty: | Registered Nurse |
| License Number: | 128305 |
Most Important Dates
| Enumeration Date: | 11/13/2018 |
| Last Updated: | 11/13/2018 |
Provider Practice Location
424 SAVANNAH RD
LEWES
DE
199581462
Practice Location Phone/Fax
| Phone: | 3026453000 |
| Fax: |
Provider Mailing Location
424 SAVANNAH RD
LEWES
DE
199581462
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |