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Individual

JENISE CHRISTINE MENENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1400 NW 12TH AVE FL 3, MIAMI, FL 33136-1003
(305) 689-5376
(305) 689-3990
Mailing address
1400 NW 12TH AVE FL 3, MIAMI, FL 33136-1003
(305) 689-5376
(305) 689-3990

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9345967
FL
367500000X
Certified Registered Nurse Anesthetist
RN9345967
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811405970
FL
Enumeration date
01/11/2018
Last updated
09/20/2018
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