Provider Demographics
NPI:1417505009
Name:SINCLAIR, MARLENE CECIL
Entity Type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:CECIL
Last Name:SINCLAIR
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 1:8816 TYRONE TER
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-4913
Mailing Address - Country:US
Mailing Address - Phone:561-487-1328
Mailing Address - Fax:
Practice Address - Street 1:8816 TYRONE TER
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-4913
Practice Address - Country:US
Practice Address - Phone:561-487-1328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider