Individual
MARYKATE BISAILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
8100 SW 10TH ST STE 1000, PLANTATION, FL 33324-3277
(954) 210-1141
(954) 210-1067
Mailing address
8100 SW 10TH ST STE 1000, PLANTATION, FL 33324-3277
(954) 210-1141
(954) 210-1067
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2230
FL
Other
Enumeration date
10/25/2018
Last updated
08/19/2019
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