Individual
YVICA JOSEPH MENTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7701 NW 39TH ST, HOLLYWOOD, FL 33024-8405
(954) 501-2506
Mailing address
7701 NW 39TH ST, HOLLYWOOD, FL 33024-8405
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11013624
FL
Other
Enumeration date
06/11/2021
Last updated
04/19/2024
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