Individual
MELISSA MENDIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 TUSCANY DR, LA PLACE, LA 70068-8412
(504) 355-6015
Mailing address
120 TUSCANY DR, LA PLACE, LA 70068-8412
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12310
LA
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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