Individual
ANDREA MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4110 DE REIMER AVE, BRONX, NY 10466-2128
(646) 241-0231
Mailing address
4110 DE REIMER AVE, BRONX, NY 10466-2128
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
283480-1
NY
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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