Provider Demographics
NPI:1134934375
Name:STEVENSON, ANDREINA JAZMIN
Entity type:Individual
Prefix:
First Name:ANDREINA
Middle Name:JAZMIN
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8345 SUNRISE LAKES BLVD APT 104
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-1519
Mailing Address - Country:US
Mailing Address - Phone:305-332-5548
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA JESUS DEL MONTE 32A
Practice Address - Street 2:TORRE SERENA, INTERIOR 1506
Practice Address - City:HUIXQUILUCAN
Practice Address - State:ESTADO DE MEXICO
Practice Address - Zip Code:52764
Practice Address - Country:MX
Practice Address - Phone:556-214-5851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter