Individual
MARIE RAINA MOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
181 SE LAKEHURST DR, PORT SAINT LUCIE, FL 34983-2681
(786) 328-4932
Mailing address
181 SE LAKEHURST DR, PORT SAINT LUCIE, FL 34983-2681
(786) 328-4932
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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