Individual
MARIE GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2287 S RIDGEWOOD AVE, SOUTH DAYTONA, FL 32119-3017
(813) 400-4586
Mailing address
2287 S RIDGEWOOD AVE, SOUTH DAYTONA, FL 32119-3017
(813) 400-4586
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
234574
FL
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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