Provider Demographics
NPI:1891242095
Name:DE MENECH, DANILA
Entity Type:Individual
Prefix:
First Name:DANILA
Middle Name:
Last Name:DE MENECH
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 1:1058 LOUIS AVE
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N9A1Y2
Mailing Address - Country:CA
Mailing Address - Phone:519-984-9181
Mailing Address - Fax:
Practice Address - Street 1:1058 LOUIS AVE
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:ONTARIO
Practice Address - Zip Code:N9A1Y2
Practice Address - Country:CA
Practice Address - Phone:519-984-9181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other