Individual
MRS. SHANDY M. MONBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
237 N. GROVE ST, MERRITT ISLAND, FL 32953
(321) 452-1226
Mailing address
1620 LARCHMONT COURT, MERRITT ISLAND, FL 32952
(321) 480-8771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MM 17487
FL
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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