Individual
MS. GEORGINA R MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 POMONA DR STE G, GREENSBORO, NC 27407-1636
(336) 855-0009
Mailing address
1108 CRANBROOK WAY, ASHEBORO, NC 27205-2334
(336) 523-4910
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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