Individual
MRS. NENA DANIELES MEADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 WEST 5TH ST. UNIT 201, LONG BEACH, CA 90802
(562) 208-6573
Mailing address
505 WEST 5TH ST. UNIT 201, LONG BEACH, CA 90802
(562) 432-7147
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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