Individual
MONICA PIQUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3890 SUNSET COVE DR, PORT ORANGE, FL 32129-1916
(386) 631-0471
Mailing address
3890 SUNSET COVE DR, PORT ORANGE, FL 32129-1916
(386) 631-0471
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
376K00000X
Nurse's Aide
Primary
CNA 196099
FL
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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