Individual
MS. KETIA EMMANUELA BRUTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRDH
Contact information
Practice address
4300 KINGS HWY STE 500, PORT CHARLOTTE, FL 33980-2953
(239) 344-2337
Mailing address
4790 CROMEY RD, NORTH PORT, FL 34288-7908
(561) 713-0204
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH25970
FL
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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