Individual
LOVIETRICE MIMS-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 WYNNEWOOD DR, WEST PALM BEACH, FL 33417-5642
(407) 572-3532
Mailing address
1330 WYNNEWOOD DR, WEST PALM BEACH, FL 33417-5642
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9368815
FL
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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