Individual
SILDA YENISSE MELENDEZ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
514 FIELDING AVE, GRETNA, LA 70056-4023
(504) 616-0017
Mailing address
514 FIELDING AVE, GRETNA, LA 70056-4023
(504) 616-0017
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24-519
LA
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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