Individual
MRS. MARNIE L SANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 N 2ND ST, FORT PIERCE, FL 34950-4435
(772) 595-3773
Mailing address
121 N 2ND ST, FORT PIERCE, FL 34950-4435
(772) 595-3773
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123456
—
FL
Enumeration date
07/05/2011
Last updated
07/05/2011
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