Individual
MYLENE DALIGUES MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
Mailing address
45 COLUMBIA AVE, KENILWORTH, NJ 07033-1508
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR09237900
NJ
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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