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Individual

MRS. JOHANNA S ULETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3800 INVERRARY BLVD STE 100O, LAUDERHILL, FL 33319-4316
(954) 638-4572
(954) 634-5699
Mailing address
3800 INVERRARY BLVD STE 100O, LAUDERHILL, FL 33319-4316
(954) 638-4572
(954) 634-5699

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30212051
FL

Other

Enumeration date
07/30/2019
Last updated
07/30/2019
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