Individual
ROBERTO CARLOS MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11610 SUMMIT CREST DR APT 301, LOUISVILLE, KY 40229-8342
(786) 354-0208
Mailing address
11610 SUMMIT CREST DR APT 301, LOUISVILLE, KY 40229-8342
(786) 354-0208
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-707
WI
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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