Sewell-Gray, Yareesha Vonshay

Sewell-Gray, Yareesha Vonshay is an sole proprietor health care provider with primary practice located at 11600 Gladiolus Dr Ste 102 , Fort Myers FL 33908-4565. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Sewell-Gray, Yareesha Vonshay can be contacted via phone (239) 466-9454.

Contact Information

Primary practice address
11600 Gladiolus Dr Ste 102 Fort Myers FL 33908-4565
Phone: (239) 466-9454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH22958 Florida
Dental Providers / Dental Hygienist 124Q00000X 22958 Florida

Profile Details

NPI number 1619573870
LBN Legal business name Sewell-Gray, Yareesha Vonshay
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2020
Last updated Dec 11th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619573870 NPPES
Florida MEDICAID 22958

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