Individual
MINETRICIA MONBRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
4570 SAINT JOHNS AVE STE 3, JACKSONVILLE, FL 32210-1844
(904) 389-5231
(904) 677-8019
Mailing address
4570 SAINT JOHNS AVE STE 3, JACKSONVILLE, FL 32210-1844
(904) 389-5231
(904) 677-8019
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360358001
—
FL
Enumeration date
05/12/2010
Last updated
05/12/2010
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