Individual
MARIA ENTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11154 SW WYNDHAM WAY, PORT ST LUCIE, FL 34987-2752
(954) 662-3918
Mailing address
11154 SW WYNDHAM WAY, PORT ST LUCIE, FL 34987-2752
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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