SearchOhio163WM0705X

Lacosta Mendoza

NPI 1912755133 · on the registry since 2024 · sole proprietor

Practice

Address
208 Wassenberg Dr
Van Wert, OH 45891
Phone
(260) 416-4223

Registry record

Primary taxonomy
163WM0705X
163WM0705X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-13

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 Ohio