Luis Emilio Menjivar, L.P.N
NPI #1982031480 in East Hampton, New York
Provider Information
- NPI Number
- 1982031480
- Entity Type
- Individual
- Name
- Luis Emilio Menjivar, L.P.N
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- L.P.N
- Enumeration Date
- Sep 30, 2013
- Last Updated
- Sep 30, 2013
Practice Location
- Address
- 76 CRYSTAL DR
- City
- East Hampton
- State
- New York
- ZIP Code
- 11937-2031
- Phone
- (631) 721-6550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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