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NPI Code Detail

MEDICARE: JEAN MARIE SALIEN

MEDICARE:   JEAN MARIE  SALIEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311ZA0620XAdult Care Home Facility6906759FL

General Provider Information

NPI Number : 1366811556
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN MARIE SALIEN
Provider Business Mailing Address
First Line : 6817 NW GRANGER AVE
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34983-1306
Country : US
Telephone Number : 772-919-5121
Fax Number :
Provider Business Practice Location Address
First Line : 6817 NW GRANGER AVE
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34983-1306
Country : US
Telephone Number : 772-919-5121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2015
Last Update Date : 11/19/2015

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Directions to “ JEAN MARIE SALIEN ” Practice Location

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