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Individual

MR. SANTOS MELENDEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RSS

Contact information

Practice address
360 BLOOMFIELD AVE STE 301, WINDSOR, CT 06095-2700
(877) 418-2978
(866) 500-2186
Mailing address
83 MAIN ST APT 9C, NEWINGTON, CT 06111-1326
(860) 794-1226

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
01/06/2023
Last updated
01/06/2023
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