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Individual

TREMENDEE MONIQUE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
283 CRANES ROOST BLVD STE 111, ALTAMONTE SPG, FL 32701-3437
(407) 451-5237
Mailing address
1235 PROVIDENCE BLVD # R1074, DELTONA, FL 32725-7363
(386) 490-5966

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
238603
FL

Other

Enumeration date
06/17/2022
Last updated
06/28/2022
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