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Individual

MAURICE MONYA WESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 PERIMETER PARK S, SUITE 100 N, BIRMINGHAM, AL 35243-2327
(205) 234-5843
Mailing address
3220 SHADOW SPRINGS PL, SAN JOSE, CA 95121-1768
(601) 310-8492

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AL
253Z00000X
In Home Supportive Care Agency
MONYA8492
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346683042
AL
Enumeration date
04/11/2013
Last updated
09/17/2013
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