Individual
MONETTE THIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
668 ALICE ST, MONTEREY, CA 93940-2002
(831) 229-8512
Mailing address
668 ALICE ST, MONTEREY, CA 93940-2002
(831) 229-8512
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
039100
CA
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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