Individual
MARVETT MOHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
865 NW 16TH AVE, FORT LAUDERDALE, FL 33311-7033
(954) 529-7841
Mailing address
PO BOX 620, FORT LAUDERDALE, FL 33302-0620
(954) 751-8529
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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