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Individual

MARCUS ETIENNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNIM

Contact information

Practice address
9432 WELLSTONE DR, LAND O LAKES, FL 34638-2574
(225) 773-6763
Mailing address
9432 WELLSTONE DR, LAND O LAKES, FL 34638-2574
(225) 773-6763

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2701
LA

Other

Enumeration date
07/18/2014
Last updated
05/02/2015
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