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Individual

LOURDES MORILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10650 W STATE ROAD 84, SUITE 206, DAVIE, FL 33324-4235
(954) 634-3636
(954) 634-3637
Mailing address
10650 W STATE ROAD 84, SUITE 206, DAVIE, FL 33324-4235
(954) 634-3636
(954) 634-3637

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0021574000
FL
Enumeration date
01/18/2017
Last updated
01/18/2017
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