Wadvens Dorelus, D4G9H6Y6
Technician/Technologist in Riviera Beach, FL. Individual provider (NPI-1).
NPI number1558074286
StatusActive
Last updated in NPPESDec 27, 2022
Details
- NPI
- 1558074286
- Entity type
- Individual (NPI-1)
- Name
- Wadvens Dorelus
- Credential
- D4G9H6Y6
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 27, 2022
- Certification date
- Dec 24, 2022
- Last updated
- Dec 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | D4G9H6Y6 | FL | Yes |
| 172A00000X | Driver | D4G9H6Y6 | FL | |
| 174400000X | Specialist | D4G9H6Y6 | FL | |
| 207PH0002X | Emergency Medicine, Hospice and Palliative Medicine | D4G9H6Y6 | FL | |
| 372600000X | Adult Companion | D4G9H6Y6 | FL | |
| 3747P1801X | Technician, Personal Care Attendant | D4G9H6Y6 | – | |
| 374U00000X | Home Health Aide | D4G9H6Y6 | FL | |
| 376K00000X | Nurse's Aide | D4G9H6Y6 | FL | |
| 405300000X | Prevention Professional | D4G9H6Y6 | FL |
Other names
- Wadvens Dorelus (Other Name)
Practice location
421 W 30th StMobilize
Riviera Beach, FL 33404
Phone 561-568-6646
Mailing address
421 W 30th StMobilize
Riviera Beach, FL 33404
Phone 561-568-6646
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