Individual
MARIE YVELINE MAUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 PARK EDEN CIR, ORLANDO, FL 32810
(407) 495-7591
Mailing address
4400 PARK EDEN CIR, ORLANDO, FL 32810-1900
(407) 495-7591
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN5197395
FL
224Z00000X
Occupational Therapy Assistant
Primary
OTA 11568
FL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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