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Individual

MARCEDA WELCOME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17073 S.W. 127TH PLACE, ARCHER, FL 32618
(352) 225-2035
(352) 335-6438
Mailing address
PO BOX 1244, ARCHER, FL 32618-1244
(352) 225-2035
(352) 335-6438

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004411500
FL
Enumeration date
06/23/2014
Last updated
09/09/2014
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