Individual
MARIE A J ROMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5933 NW HANN DR, PORT ST LUCIE, FL 34986-3853
(561) 703-3157
(772) 873-8731
Mailing address
5933 NW HANN DR, PORT ST LUCIE, FL 34986-3853
(561) 703-3157
(772) 873-8731
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
235740
FL
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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