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Individual

JONATHAN MENDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
185 CHESTER ST, EAST HARTFORD, CT 06108-2816
(860) 371-6448
Mailing address
185 CHESTER ST, EAST HARTFORD, CT 06108-2816
(860) 371-6448

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000845
CT

Other

Enumeration date
10/10/2008
Last updated
10/10/2008
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