Individual
LAURA I MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
282 BENEDICT AVE, STE B, NORWALK, OH 44857-2712
(419) 668-9409
(419) 668-7099
Mailing address
282 BENEDICT AVE, STE B, NORWALK, OH 44857-2712
(419) 668-9409
(419) 668-7099
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
12451-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053752
—
OH
Enumeration date
08/05/2011
Last updated
12/06/2013
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