Individual
NERSYMARTH A ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5134 MINA CIRCLE APT 101, FORT MYERS, FL 33905
(239) 810-6718
Mailing address
5134 MINA CIR APT 101, FORT MYERS, FL 33905-7859
(239) 810-6718
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH23803
FL
Other
Enumeration date
07/25/2021
Last updated
07/25/2021
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