Individual
MRS. MAYERLIN FAGUNDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953-2845
(772) 873-8811
Mailing address
1733 SW HAMPSHIRE LN, PORT SAINT LUCIE, FL 34953-2046
(786) 769-9192
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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