Individual
MENANDRO CERALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3925 PIERCE ST APT 533, RIVERSIDE, CA 92505-5804
(310) 357-0013
Mailing address
3925 PIERCE ST APT 533, RIVERSIDE, CA 92505-5804
(310) 357-0013
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
18693
VA
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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