Individual
JONAS MINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
13 S TEJON ST, SUITE 501, COLORADO SPRINGS, CO 80903-1513
(866) 226-8576
Mailing address
14222 W WILSHIRE DR, GOODYEAR, AZ 85395-1655
(832) 630-3377
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
760
TX
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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