Individual
MARLENE FUENTES CASANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 SW 167 AVE, PEMBROKE PINES, FL 33027
(786) 280-5702
Mailing address
1033 SW 167TH AVE, PEMBROKE PINES, FL 33027-1423
(786) 280-5702
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
16-241
FL
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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