ALFREDO MENCHACA

GARY, IN
NPI1538551031
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2015-02-20
Last Update Date2015-02-20
Business Address
Mr. ALFREDO MENCHACA
5601 W 5TH AVE
GARY, IN 46406-1405
Phone number: 608-387-6082
Mailing Address
Mr. ALFREDO MENCHACA
5601 W 5TH AVE
GARY, IN 46406-1405
Phone number: 608-387-6082