Individual
DIMENTRIA BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10650 W STATE ROAD 84, SUITE 206, DAVIE, FL 33324-4235
(954) 634-3636
Mailing address
2801 NW 179TH ST, MIAMI GARDENS, FL 33056-3524
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/03/2013
Last updated
08/03/2013
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