Individual
MONIQUE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11043 BACALL RD W, JACKSONVILLE, FL 32218-4815
(904) 207-2074
(904) 322-7375
Mailing address
11043 BACALL RD W, JACKSONVILLE, FL 32218-4815
(904) 207-2074
(904) 322-7375
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
CNA 274090
FL
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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