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Individual

MARTINE JOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8531 NW 52ND CT, LAUDERHILL, FL 33351-4810
(954) 479-1144
Mailing address
8531 NW 52ND CT, LAUDERHILL, FL 33351-4810
(954) 479-1144

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
235552
FL
376J00000X
Homemaker
235552
FL

Other

Enumeration date
10/31/2018
Last updated
10/31/2018
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