Smith, Mylena Dashaun
Smith, Mylena Dashaun is an individual health care provider with primary practice located at 2812 N. Norwalk St Bldg. 14 Ste 127 & 128, Mesa AZ 85215. She recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as her primary health care specialty. Smith, Mylena Dashaun can be contacted via phone (213) 305-5329.Contact Information
Primary practice address
2812 N. Norwalk St Bldg. 14 Ste 127 & 128
Mesa AZ 85215
Phone: (213) 305-5329
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X |
Profile Details
| NPI number | 1083170641 |
|---|---|
| LBN Legal business name | Smith, Mylena Dashaun |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2019 |
| Last updated | Feb 19th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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