MARLENE Y SAMUELS

PORT ST LUCIE, FL
NPI1174037592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QD1600X Clinic/Center Developmental Disabilities
Enumeration Date2017-11-21
Last Update Date2017-11-21
Business Address
MARLENE Y SAMUELS MED-WAIVER PROVIDER
4241 SW HAGAPLAN ST
PORT ST LUCIE, FL 34953-6583
Phone number: 772-224-4466
Mailing Address
MARLENE Y SAMUELS MED-WAIVER PROVIDER
4241 SW HAGAPLAN ST
PORT ST LUCIE, FL 34953-6583
Phone number: 772-224-4466
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