Individual
MONICA ANNE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1534 BIG OAKS DR APT 103, LAKELAND, FL 33810-0815
(727) 815-2767
Mailing address
1534 BIG OAKS DR APT 103, LAKELAND, FL 33810-0815
(727) 815-2767
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103025700
—
FL
Enumeration date
09/20/2019
Last updated
09/20/2019
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