Individual
MAGDALENA ASCENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 NW 11TH AVE, OKEECHOBEE, FL 34972-2441
(863) 634-9439
Mailing address
601 NW 11TH AVE, OKEECHOBEE, FL 34972-2441
(863) 634-9439
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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