Individual provider · Type 1 NPI
Serena Mink, L.E.
Specialist · San Diego, CA
NPI number
1114541463
Active
Practice location
100 Park Plz Apt 407
San Diego, CA 92101-6710
Mailing address
611 K Street Suite B, #425
San Diego, CA 92101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | L9642 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1114541463
Serena Mink, L.E.'s National Provider Identifier is 1114541463, issued on Jun 2, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Diego, CA. The record was last updated on Jun 2, 2020.