Individual
FABIOLA ROCHO MARGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MATY1
Contact information
Practice address
446 RACETRACK RD NW UNIT C, FORT WALTON BEACH, FL 32547-1544
(850) 226-9012
Mailing address
451 SHREWSBURY RD, MARY ESTHER, FL 32569-1735
(850) 226-9012
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
49710993
NY
261QH0100X
Health Service Clinic/Center
Primary
49710993
NY
Other
Enumeration date
05/09/2023
Last updated
05/13/2023
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