Provider Demographics
NPI:1275047219
Name:PIERRELUS, MARIE
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:PIERRELUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4122 INVERRARY BLVD APT 60B
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4124
Mailing Address - Country:US
Mailing Address - Phone:781-520-1341
Mailing Address - Fax:
Practice Address - Street 1:4122 INVERRARY BLVD APT 60B
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4124
Practice Address - Country:US
Practice Address - Phone:781-520-1341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other