Individual
MARLEN ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15430 HARRISON DR, HOMESTEAD, FL 33033-2530
(786) 226-1763
Mailing address
15430 HARRISON DR, HOMESTEAD, FL 33033-2530
(786) 226-1763
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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