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Santa Mena
NPI 1174271936 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1133 Ogden Ave Apt 13p
Bronx, NY 10452 - Phone
- (646) 541-6381
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York