Individual
ANGEL MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
684 N 1474 RD, LAWRENCE, KS 66049-9185
(323) 896-8161
Mailing address
684 N 1474 RD, LAWRENCE, KS 66049-9185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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