Individual
ELA MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 MARSHALL ST, ELIZABETH, NJ 07206-1637
(908) 242-7690
Mailing address
70 MARSHALL ST, ELIZABETH, NJ 07206-1637
(908) 242-7690
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14-466
CO
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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