Individual
DANE-BERLY DORCELUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
835 NW 5TH AVE APT 306, FLORIDA CITY, FL 33034-2142
(631) 855-8194
Mailing address
835 NW 5TH AVE APT 306, FLORIDA CITY, FL 33034-2142
(631) 855-8194
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CNA400876
FL
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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