Individual
MRS. MAE ENGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 CABBAGE KEY DR, RUSKIN, FL 33570-7625
(813) 516-3880
Mailing address
1708 CABBAGE KEY DR, RUSKIN, FL 33570-7625
(813) 516-3880
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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