Individual
MARLENE ANGELA BANTONSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5700 NW 27 COURT, LAUDERHILL, FL 33313
(954) 486-0858
(954) 497-3857
Mailing address
6461 NW 24 PLACE, SUNRISE, FL 33313
(954) 572-8350
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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