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Individual

MARION M LANDUA-FIGUEROA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
374 SW PRINCETON CT, FORT WHITE, FL 32038-2628
(386) 454-3502
Mailing address
374 SW PRINCETON CT, FORT WHITE, FL 32038-2628
(386) 454-3502

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033768400
FL
Enumeration date
06/25/2007
Last updated
07/09/2007
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