Individual
MALINE LISME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10650 W STATE ROAD 84, DAVIE, FL 33324-4235
(954) 634-3636
(954) 634-3637
Mailing address
3567 NW 32ND CT, LAUDERDALE LAKES, FL 33309-5403
(954) 446-5931
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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