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Individual

MICHELLE LEE CINQ-MARS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
85 RIVERVIEW BND S UNIT 1532, PALM COAST, FL 32137-6585
(386) 237-7954
Mailing address
85 RIVERVIEW BND S UNIT 1532, PALM COAST, FL 32137-6585
(386) 237-7954

Taxonomy

Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
3062082
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3062082
REGISTERED NURSE
FL
Enumeration date
08/30/2018
Last updated
08/30/2018
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