Individual
MARY CHERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1048 RENOIR ST, PORT CHARLOTTE, FL 33952-1762
(941) 629-9570
Mailing address
1048 RENOIR ST, PORT CHARLOTTE, FL 33952-1762
(941) 629-9570
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905514
FL
Other
Enumeration date
12/06/2021
Last updated
12/16/2021
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