Individual
MONIQUE KASHA TEDESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 N ORANGE AVE STE 800, ORLANDO, FL 32801-2381
(407) 917-0683
Mailing address
111 N ORANGE AVE STE 800, ORLANDO, FL 32801-2381
(407) 917-0683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9268790
FL
163WP2201X
Ambulatory Care Registered Nurse
RN9268790
FL
251J00000X
Nursing Care Agency
RN9268790
FL
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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