Individual
MARIE THANIA ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 NW 60TH WAY, SUNRISE, FL 33313-2230
(754) 209-8735
Mailing address
2617 NW 60TH WAY, SUNRISE, FL 33313-2230
(754) 209-8735
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
237911
FL
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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