Individual
JEAN MARIE SALIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6817 NW GRANGER AVE, PORT ST LUCIE, FL 34983-1306
(772) 919-5121
Mailing address
6817 NW GRANGER AVE, PORT ST LUCIE, FL 34983-1306
(772) 919-5121
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906759
FL
Other
Enumeration date
09/18/2015
Last updated
11/19/2015
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