Individual
MARLENE LOPEZ-HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
517 PINTAIL CIR, AUBURNDALE, FL 33823-8368
(863) 595-8771
Mailing address
517 PINTAIL CIR, AUBURNDALE, FL 33823-8368
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5183403
FL
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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