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Individual

NINA C MENDICINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
ONE MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506-3404
(304) 598-4032
Mailing address
PO BOX 8030, MORGANTOWN, WV 26506-8030
(304) 598-4032

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1316
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP-1316
SPEECH PATHOLOGIST
WV
Enumeration date
07/19/2011
Last updated
07/19/2011
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