Individual
MENNETTE J COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
1970 SW GLENDALE ST., PORT SAINT LUCIE, FL 34987
(561) 866-7572
Mailing address
1970 SW GLENDALE ST., PORT SAINT LUCIE, FL 34987
(561) 866-7572
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
FL
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
09/23/2011
Last updated
08/14/2012
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