Individual
MARIE MITCHELLE MOTHERSIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2425 2ND AVE N APT 75, LAKE WORTH BEACH, FL 33461-0920
(561) 908-1352
Mailing address
PO BOX 6188, LAKE WORTH, FL 33466-6188
(561) 729-7346
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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