Individual
THANIA A DUVERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3810 DAVIE ROAD EXT UNIT 2307, HOLLYWOOD, FL 33024-1689
(754) 204-4562
Mailing address
3810 DAVIE ROAD EXT UNIT 2307, HOLLYWOOD, FL 33024-1689
(754) 204-4562
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CCHW.0100490
FL
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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