Individual
MS. EVELYN MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SURGICAL TECH
Contact information
Practice address
1229 W FAIRGROVE AVE, WEST COVINA, CA 91790-4611
(626) 549-5347
Mailing address
1229 W FAIRGROVE AVE, WEST COVINA, CA 91790-4611
(626) 549-5347
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W099366193
AENTNA
CA
Enumeration date
10/15/2014
Last updated
10/15/2014
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