Dr. Ilia Sharon Blas Mendez
Student in an Organized Health Care Education/Training Program in Detroit, MI. Individual provider (NPI-1).
NPI number1679402002
StatusActive
Last updated in NPPESMay 13, 2026
Details
- NPI
- 1679402002
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ilia Sharon Blas Mendez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 13, 2026
- Certification date
- May 13, 2026
- Last updated
- May 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 4351056152 | MI | Yes |
Practice location
2799 W Grand BlvdDetroit, MI 48202-2608
Phone 313-916-2600
Mailing address
2799 W Grand BlvdDetroit, MI 48202-2608
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