CHRISTELLA DORVAL

PORT ST LUCIE, FL
NPI1770988180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL  6906705)
Enumeration Date2014-10-28
Last Update Date2014-10-28
Business Address
-- CHRISTELLA DORVAL
1258 SW ERMINE AVE
PORT ST LUCIE, FL 34953-5006
Phone number: 772-207-7947
Mailing Address
-- CHRISTELLA DORVAL
1258 SW ERMINE AVE
PORT ST LUCIE, FL 34953-5006
Phone number: 772-207-7947