Imelda Edith Mena Nolasco
NPI #1023666906 in San Mateo, California
Provider Information
- NPI Number
- 1023666906
- Entity Type
- Individual
- Name
- Imelda Edith Mena Nolasco
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 3, 2019
- Last Updated
- Sep 3, 2019
Practice Location
- Address
- 424 PENINSULA AVE
- City
- San Mateo
- State
- California
- ZIP Code
- 94401-1653
- Phone
- (650) 286-4396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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