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Individual

MARTINE BIENVENU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1755 18TH ST, SARASOTA, FL 34234-8657
(941) 955-4915
Mailing address
9015 41ST ST E, PARRISH, FL 34219-2221
(941) 565-4159
(941) 281-2021

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5234197
FL

Other

Enumeration date
04/18/2018
Last updated
04/18/2018
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