Individual
MARYLINE BALTHAZAR-GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0164
(305) 470-5846
Mailing address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0164
(305) 470-5846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3367682
FL
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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