MENDRICK BANZUELA

WORCESTER, MA
NPI1679011563
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2017-02-10
Last Update Date2017-02-10
Business Address
Mr. MENDRICK BANZUELA
484 MAIN ST
WORCESTER, MA 01608-1893
Phone number: 508-791-4373
Mailing Address
Mr. MENDRICK BANZUELA
484 MAIN ST
WORCESTER, MA 01608-1893
Phone number: