Individual
MARY INCIARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10227 FALCON PARC BLVD APT 201, ORLANDO, FL 32832-5522
(407) 473-1452
Mailing address
10227 FALCON PARC BLVD APT 201, ORLANDO, FL 32832-5522
(407) 473-1452
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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