Individual
MARIE HORACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5672 NW CROTON AVE, PORT ST LUCIE, FL 34986-3673
(772) 879-6576
Mailing address
5672 NW CROTON AVE, PORT ST LUCIE, FL 34986-3673
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 84706
FL
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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