Individual
TUESDAY L MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 E COX ST, DELAND, FL 32724-5635
(386) 943-9878
Mailing address
712 E COX ST, DELAND, FL 32724-5635
(386) 943-9878
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
372500000X
FL
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
376J00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684876101
—
FL
05
—
684876102
—
FL
05
—
684876196
—
FL
Enumeration date
10/27/2010
Last updated
10/27/2010
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