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Individual

MRS. DIANE VELMORTH SEWELL-MENTORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
651 E 25TH ST, HIALEAH, FL 33013-3814
(305) 835-4423
Mailing address
13485 SW 22ND ST, MIRAMAR, FL 33027-2675
(954) 441-5816

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3304172
FL

Other

Enumeration date
01/22/2010
Last updated
01/22/2010
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