Individual
JULIA MENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 HENNEQUIN RD, COLUMBIA, CT 06237-1309
(860) 942-0352
Mailing address
37 HENNEQUIN RD, COLUMBIA, CT 06237-1309
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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