Individual
MARLEN D OHAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3424 SE 14TH PL, SUMMERFIELD, FL 34491
(502) 600-2367
Mailing address
3424 SE 14TH PL, SUMMERFIELD, FL 34491
(502) 600-2367
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
CNA333440
FL
374U00000X
Home Health Aide
Primary
CNA333440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1929
—
FL
Enumeration date
02/28/2019
Last updated
01/30/2021
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