Individual
CHARLENE MARYLEE FOULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
985 23RD PLACE SW, VERO BEACH, FL 32962
(772) 501-9005
Mailing address
210 SW 6TH DRIVE, VERO BEACH, FL 32962
(772) 501-0427
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
Y2S3S2Q5
FL
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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