Individual
MRS. MONIQUE LADOSCA MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, MED TECH
Contact information
Practice address
1065 SWAIM WOODS LN, WINSTON SALEM, NC 27107-5461
(336) 793-6007
Mailing address
1065 SWAIM WOODS LN, WINSTON SALEM, NC 27107-5461
(336) 793-6007
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
02/26/2012
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