Individual
MRS. NICOLE MONTINARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1154 NW 204TH ST, MIAMI GARDENS, FL 33169-2456
(954) 534-6664
Mailing address
1154 NW 204TH ST, MIAMI GARDENS, FL 33169-2456
(954) 534-6664
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906911
FL
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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