Individual
MS. CECILIA MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
697 WINDMILL AVE, WEST BABYLON, NY 11704
(631) 505-9861
Mailing address
697 WINDMILL AVE, WEST BABYLON, NY 11704
(631) 505-9861
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
299598-1
NY
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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