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Individual
MEKENZIE MENDOZA
Active
Individual
MEKENZIE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
28259659A
IN
363LW0102X
Women's Health Nurse Practitioner
71016250A
IN
367A00000X
Advanced Practice Midwife
Primary
09000488A
IN
Other
Enumeration date
09/04/2024
Last updated
04/08/2026
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