Individual
MARIEKED MORESTANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10910 SW 41ST AVE, OCALA, FL 34476-4237
(352) 233-0869
Mailing address
10910 SW 41ST AVE, OCALA, FL 34476-4237
(352) 233-0869
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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