Individual
DONNA BOWEN-MORTLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11911 NW 34TH PL, SUNRISE, FL 33323-1235
(954) 224-3217
Mailing address
11911 NW 34TH PL, SUNRISE, FL 33323-1235
(954) 224-3217
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
9449444
FL
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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