Individual
MARIELLEN CALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 FLORIDA AVE, FORT PIERCE, FL 34950-4990
(772) 979-0559
Mailing address
1407 FLORIDA AVE, FORT PIERCE, FL 34950-4990
(772) 979-0559
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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