Individual
AILEEN NICOLE MENJIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26081 MOCINE AVE, HAYWARD, CA 94544-2923
(510) 881-5921
Mailing address
259 FALCON WAY, HERCULES, CA 94547-1532
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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