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Individual

MARNIQUE EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15703 NW 138TH TER, ALACHUA, FL 32615-5872
(352) 213-0936
(352) 328-3621
Mailing address
15703 NW 138TH TER, ALACHUA, FL 32615-5872
(352) 329-2028
(352) 328-3621

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
372600000X
Adult Companion
376J00000X
Homemaker
Primary

Other

Enumeration date
05/10/2022
Last updated
05/10/2022
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