Individual
KATUCHA J DORVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7957 TROPICANA ST, MIRAMAR, FL 33023-2435
(954) 907-7564
Mailing address
7957 TROPICANA ST, MIRAMAR, FL 33023-2435
(954) 907-7564
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11035342
FL
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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