Individual
MARIE BERTUDE GREGOIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 W VINE ST STE 269, KISSIMMEE, FL 34741-4673
(407) 785-2541
(407) 785-2534
Mailing address
3501 W VINE ST STE 269, KISSIMMEE, FL 34741-4673
(407) 785-2541
(407) 785-2534
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
233176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352404018
HOMEMAKER
FL
Enumeration date
05/22/2018
Last updated
06/16/2018
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