EDMOND LOUIS METELLUS

PORT ST LUCIE, FL
NPI1760984553
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-03-07
Last Update Date2018-03-07
Business Address
EDMOND LOUIS METELLUS
525 NW LAKE WHITNEY PL STE 102
PORT ST LUCIE, FL 34986-1605
Phone number: 772-337-8164
Mailing Address
EDMOND LOUIS METELLUS
419 SW CRABAPPLE CV
PORT ST LUCIE, FL 34986-2329
Phone number: 978-340-0839
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