Individual
MS. MARIE LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
19 BURNING WICK PL, PALM COAST, FL 32137-8802
(386) 631-0432
Mailing address
19 BURNING WICK PL, PALM COAST, FL 32137-8802
(386) 631-0432
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
6906826
FL
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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