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Individual

MELISSA BROOK MENDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
201011830CNA
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201011830CNA
CNA2
OR
Enumeration date
09/22/2022
Last updated
09/22/2022
Update your record

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