Individual
CLIVENSON DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6067 BLUE STONE LN, LAKE WORTH, FL 33463-6720
(321) 265-4997
Mailing address
6067 BLUE STONE LN, LAKE WORTH, FL 33463-6720
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/19/2024
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