Individual
HECTOR ARMANDO MENESES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W 16TH ST, DAVENPORT, IA 52804-3707
(563) 639-9545
Mailing address
1111 W 16TH ST, DAVENPORT, IA 52804-3707
(563) 639-9545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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