Nathalia Menicucci

NPI #1154969194 in Chicago, Illinois

Provider Information

NPI Number: 1154969194
Entity Type: Individual
Name: Nathalia Menicucci
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Enumeration Date: Dec 19, 2019
Last Updated: Dec 19, 2019

Practice Location

Address: 3940 N CLARK ST APT 407
City: Chicago
State: Illinois
ZIP Code: 60613-2625
Phone: (786) 222-5646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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