Individual
MARY LAURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 TAMIAMI TRAIL S, VENICE, FL 34285
(941) 220-7306
Mailing address
234 TAMIAMI TRL S, VENICE, FL 34285-2419
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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