Individual
MRS. MAIARA MICHELLE SALES DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4137 CARMICHAEL RD STE 330, MONTGOMERY, AL 36106-3614
(334) 922-4141
Mailing address
3433 S COURT ST, MONTGOMERY, AL 36105-1607
(334) 922-4141
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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