Individual
MR. DIANE M MARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3545 BIG PINE RD, MELBOURNE, FL 32934-8559
(321) 752-9918
Mailing address
3545 BIG PINE RD, MELBOURNE, FL 32934-8559
(321) 752-9918
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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