Individual
MISS EVA MARCISZONEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
372 CORONADO RD, VENICE, FL 34293-5911
(386) 214-4127
Mailing address
372 CORONADO RD, VENICE, FL 34293-5911
(386) 214-4127
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
7342
FL
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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