KIRA ENID MEDINA-TIENCKEN

BLOOMFIELD, NJ
NPI1336631902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NJ  41YS00796200)
Enumeration Date2018-05-30
Last Update Date2018-05-30
Business Address
KIRA ENID MEDINA-TIENCKEN MS, CCC-SLP
31 CHESTNUT TER
BLOOMFIELD, NJ 07003-4408
Phone number: 862-812-1552
Mailing Address
KIRA ENID MEDINA-TIENCKEN MS, CCC-SLP
31 CHESTNUT TER
BLOOMFIELD, NJ 07003-4408
Phone number: 862-812-1552
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