Individual
MARIE ANTOINETTE ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 RYBERRY DR, PALM COAST, FL 32164-6438
(386) 338-7974
(386) 263-7649
Mailing address
63 RYBERRY DR, PALM COAST, FL 32164-6438
(386) 338-7974
(386) 263-7649
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906777
FL
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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