Individual
CHANTELLE MINTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4890 NW 2ND PL, PLANTATION, FL 33317-2014
(954) 934-7779
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
FL
Other
Enumeration date
05/07/2018
Last updated
01/13/2023
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