Maryelle Vicente

NPI #1730528134 in Hobe Sound, Florida

Provider Information

NPI Number: 1730528134
Entity Type: Individual
Name: Maryelle Vicente
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Jun 19, 2013
Last Updated: Jun 19, 2013

Practice Location

Address: 8108 SE COCONUT ST
City: Hobe Sound
State: Florida
ZIP Code: 33455-4008
Phone: (855) 832-6727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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