Individual
MISS JOSELYNN KRISTEN LAVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4934 SW 166TH AVE, MIRAMAR, FL 33027-4904
(954) 433-7689
Mailing address
4934 SW 166TH AVE, MIRAMAR, FL 33027-4904
(954) 433-7689
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
153394
FL
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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