Individual
ANTOINETTE MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6328 SPRINGCREST LN, HENRICO, VA 23231-5323
(804) 221-0263
(804) 652-1738
Mailing address
6328 SPRINGCREST LN, HENRICO, VA 23231-5323
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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