MEDICARE: CYNTHIA EKIA MENDI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1861239519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA EKIA MENDI

Provider Business Mailing Address
First Line	:	3569 FORT MEADE RD
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20724-2045
Country	:	US
Telephone Number	:	240-614-6360
Fax Number	:

Provider Business Practice Location Address
First Line	:	3569 FORT MEADE RD
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20724-2045
Country	:	US
Telephone Number	:	240-614-6360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2024
Last Update Date	:	07/10/2024

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Directions to “ CYNTHIA EKIA MENDI ” Practice Location

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