Individual
FIORDALIZA MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 CUMMINGS CTR, 364-U SUITE, BEVERLY, MA 01915-6175
(978) 338-1737
(978) 922-6468
Mailing address
199 ROSEWOOD DR, 250 SUITE, DANVERS, MA 01923-1398
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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