Individual
MRS. KARIN CHRISTINE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
6102 TENNESSEE AVE, FORT CAMPBELL, KY 42223-5940
(270) 461-0568
Mailing address
4498 IRONHORSE WAY, CLARKSVILLE, TN 37040-5457
(540) 841-9793
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0001225453
VA
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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