Individual
JESSIE MENENDEZ GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 OAK LN STE 404, MIAMI LAKES, FL 33016-5876
(305) 952-3125
Mailing address
1075 W 68TH ST APT 308, HIALEAH, FL 33014-5130
(786) 445-2780
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/28/2017
Last updated
12/19/2020
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