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Individual

MARIE ANN FLORENDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002388
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184919391
DE
01
2782958
BC BS DE
DE
Enumeration date
06/15/2011
Last updated
03/13/2017
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