Individual
YARAIKY MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14750 NW 44TH CT, OPA LOCKA, FL 33054-2304
(305) 953-2100
Mailing address
45 NE LOOP 410 STE 400, SAN ANTONIO, TX 78216-5834
(210) 214-2111
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DA2014029189
FL
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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