Individual
MARIELLE DORVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
789 NW 118TH ST, MIAMI, FL 33168-2328
(786) 991-7829
Mailing address
789 NW 118TH ST, MIAMI, FL 33168-2328
(786) 991-7829
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5158395
FL
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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