Provider Demographics
NPI:1235854381
Name:MENOR, ROSARIO
Entity Type:Individual
Prefix:MRS
First Name:ROSARIO
Middle Name:
Last Name:MENOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 NEWTON CT
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-9635
Mailing Address - Country:US
Mailing Address - Phone:209-564-9064
Mailing Address - Fax:
Practice Address - Street 1:702 NEWTON CT
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-9635
Practice Address - Country:US
Practice Address - Phone:209-564-9064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical