Individual
VINDY MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 3RD AVE, NEW YORK, NY 10017-5704
(212) 871-0613
Mailing address
PO BOX 1074, NEW YORK, NY 10027-1074
(347) 780-0353
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
T6W9T8D7
CA
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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