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Individual
MR. JOSE ISRAEL MENENDEZ INTERIANO
Active
Individual
MR. JOSE ISRAEL MENENDEZ INTERIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95048984
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020008
CA
Other
Enumeration date
11/02/2017
Last updated
11/17/2022
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