MONICA TIRTARAHARDJA

LAKE WORTH, FL
NPI1770117830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  PA9112886)
Enumeration Date2020-02-27
Last Update Date2020-07-12
Business Address
Miss MONICA TIRTARAHARDJA PA-C
5503 S CONGRESS AVE STE 204
LAKE WORTH, FL 33462-6626
Phone number: 561-410-5110
Mailing Address
Miss MONICA TIRTARAHARDJA PA-C
5503 S CONGRESS AVE STE 204
ATLANTIS, FL 33462-6626
Phone number: 561-410-5110
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