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Individual

MISS MACARIA TEMPLA BOQUIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5511 PINNACLE LANE, WEST PALM BEACH, FL 33415
(561) 313-3261
Mailing address
5511 PINNACLE LANE, WEST PALM BEACH, FL 33415

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
672499096
FL
Enumeration date
01/26/2009
Last updated
01/26/2009
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