Individual
MRS. LESLIE MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6479 N PROSPECT AVE, GLADSTONE, MO 64119-1545
(916) 321-5270
Mailing address
6479 N PROSPECT AVE, GLADSTONE, MO 64119-1545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2011018901
MO
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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