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Individual

YAMILKA J MENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6412 N UNIVERSITY DR STE 105, TAMARAC, FL 33321-4002
(954) 934-4962
Mailing address
6412 N UNIVERSITY DR STE 105, TAMARAC, FL 33321-4002
(954) 934-4962

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87-2478809
FL
Enumeration date
01/30/2023
Last updated
01/30/2023
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