Individual
MS. MARILYN MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
605 S 3RD ST APT 10, LAKE WALES, FL 33853-4621
(863) 456-8009
Mailing address
605 S 3RD ST APT 10, LAKE WALES, FL 33853-4621
(863) 456-8009
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
M254550739569
FL
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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