Individual
MYRLANDE BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12401 ORANGE DR, SUITE 129, DAVIE, FL 33330-4341
(954) 862-1707
Mailing address
904 SW 14TH ST, FORT LAUDERDALE, FL 33315-1336
(954) 862-1707
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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