Individual
TEQUILA MONOA HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE AIDE
Contact information
Practice address
1045 US HIGHWAY 17 S, BARTOW, FL 33830-6027
(717) 331-7371
Mailing address
1940 SADDLEWOOD CT, BARTOW, FL 33830-2916
(717) 331-7371
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
20012035
PA
Other
Enumeration date
03/27/2024
Last updated
03/28/2024
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