Individual
ABIGAIL JEAN MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
247 IVES RD, MASON, MI 48854-9240
(517) 604-0509
Mailing address
247 IVES RD, MASON, MI 48854-9240
(517) 604-0509
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704326681
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
01/01/2021
Last updated
01/01/2021
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