Individual
YAREESHA VONSHAY SEWELL-GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11600 GLADIOLUS DR STE 102, FORT MYERS, FL 33908-4565
(239) 466-9454
Mailing address
1735 BRANTLEY RD APT 911, FORT MYERS, FL 33907-3917
(239) 265-1756
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22958
FL
124Q00000X
Dental Hygienist
DH22958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22958
—
FL
Enumeration date
12/11/2020
Last updated
12/11/2020
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