Individual
BRIANA CLAMANCHIE BOLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4550
Mailing address
397 SW RAY AVE, PORT SAINT LUCIE, FL 34983-3047
(561) 506-1935
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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