Individual
MARCILLA ANN DUPREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 JORDAN DR, ROCKLEDGE, FL 32955-3022
(407) 488-3121
Mailing address
1725 JORDAN DR, ROCKLEDGE, FL 32955-3022
(407) 488-3121
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
350374
FL
Other
Enumeration date
11/27/2017
Last updated
12/20/2019
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