Provider Demographics
NPI:1982343190
Name:DUVALIER, MONIQUE LANIER
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:LANIER
Last Name:DUVALIER
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 1:6 KEARNEY WAY
Mailing Address - Street 2:
Mailing Address - City:INDIAN HEAD
Mailing Address - State:MD
Mailing Address - Zip Code:20640-1581
Mailing Address - Country:US
Mailing Address - Phone:240-486-8339
Mailing Address - Fax:
Practice Address - Street 1:1736 RHODE ISLAND AVE NE APT 404
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1789
Practice Address - Country:US
Practice Address - Phone:202-705-1063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-04
Last Update Date:2022-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant