Individual
NICHOLE MONINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., R.T. (T)
Contact information
Practice address
10000 BAY PINES BLVD, BLDG 107, BAY PINES, FL 33744-8200
(727) 398-9545
Mailing address
10000 BAY PINES BLVD, BLDG 107, BAY PINES, FL 33744-8200
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
90911
FL
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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