Individual
MONIQUE CANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA, CHES
Contact information
Practice address
7 WILCOX AVE, MIDDLETOWN, NY 10940-4911
(917) 334-9462
Mailing address
7 WILCOX AVE, MIDDLETOWN, NY 10940-4911
(917) 334-9462
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
33110
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33110
CHES ID
NY
Enumeration date
02/14/2022
Last updated
02/14/2022
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