Individual
AMERICA MONIQUE WEATHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13740 ADAMS ST, GRAND ISLAND, FL 32735-9001
(352) 800-1054
Mailing address
13740 ADAMS ST, GRAND ISLAND, FL 32735-9001
(352) 800-1054
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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