Individual
LINDA LEE MARCELLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15196 HARBOUR ISLE DR, FORT MYERS, FL 33908-6809
(330) 283-6621
Mailing address
15196 HARBOUR ISLE DR, FORT MYERS, FL 33908-6809
(330) 283-6621
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5200375
—
OH
Enumeration date
09/14/2020
Last updated
09/14/2020
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