Marlene Y Samuels, MED-WAIVERPROVIDER
Marlene Y Samuels, MED-WAIVERPROVIDER is a Developmental Disabilities Clinic/Center in Port St Lucie, Florida. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
4241 SW Hagaplan StPort St Lucie, FL 34953-6583
Phone: (772) 224-4466
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Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X |
|---|
Record details
| NPI number | 1174037592 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MED-WAIVERPROVIDER |
| Sole proprietor | Yes |
| NPI enumerated | November 21, 2017 |
| Last updated in NPPES | November 21, 2017 |
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