Individual
MS. REGINA MIGNECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SUNBONNET LN, BELLPORT, NY 11713-1146
(631) 415-8550
Mailing address
11 SUNBONNET LN, BELLPORT, NY 11713-1146
(631) 415-8550
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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