Provider Demographics
NPI:1891481941
Name:ALLAIRE-TWOMEY, MONIQUE JEANNE
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:JEANNE
Last Name:ALLAIRE-TWOMEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:648 PINE RUN RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:WV
Mailing Address - Zip Code:26412-3033
Mailing Address - Country:US
Mailing Address - Phone:304-452-8075
Mailing Address - Fax:
Practice Address - Street 1:648 PINE RUN RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:WV
Practice Address - Zip Code:26412-3033
Practice Address - Country:US
Practice Address - Phone:304-452-8075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant