SearchIndiana225100000X

Erickson Mendoza

NPI 1407105687 · on the registry since 2012 · sole proprietor

Practice

Address
5980 W 71st St Ste 102
Indinapolis, IN 46278
Phone
(317) 388-0800
Fax
(317) 388-0805

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-09-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana