Liliya Heretsun-roussonicolos is a durable medical equipment medical supplies in Port St Lucie, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. Liliya Heretsun-roussonicolos NPI is 1407464506. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1488 SE VILLAGE GREEN DR
PORT ST LUCIE, FL
ZIP 34952-411
Phone: (722) 301-1497
Fax: (321) 676-8508
The enumeration date for this NPI number is 7/15/2020 and was last updated on 10/9/2020.