Individual
MONICA E WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1962 SW CAMEO BLVD, PORT ST LUCIE, FL 34953-2009
(772) 323-0701
(772) 323-0701
Mailing address
1962 SW CAMEO BLVD, PORT ST LUCIE, FL 34953-2009
(772) 323-0701
(772) 323-0701
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
15-1626
FL
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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