Individual
MONET XMINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4690 NW 41ST PL, LAUDERDALE LAKES, FL 33319-4781
(954) 607-0622
Mailing address
4690 NW 41ST PL, LAUDERDALE LAKES, FL 33319-4781
(965) 607-0622
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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