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Individual

BROOKE MENDIOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-4100
Mailing address
1919 OAKWELL FARMS PKWY STE 257, SAN ANTONIO, TX 78218-1736
(210) 930-8400
(210) 930-8402

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1013656
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1013656
TX

Other

Enumeration date
11/05/2020
Last updated
08/14/2024
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