SearchMissouri101YP2500X

Edy Mendoza, 2013008645

NPI 1437552197 · on the registry since 2014 · sole proprietor

Practice

Address
339 Elmwood Estates Dr
Washington, MO 63090
Phone
(636) 485-3528
Fax
(636) 239-1931

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-08

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 Missouri