Individual
LATOYA AUDIE MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
265 WASHINGTON AVE APT A4, BRIDGEPORT, CT 06604-3841
(862) 704-3222
Mailing address
265 WASHINGTON AVE APT A4, BRIDGEPORT, CT 06604-3841
(862) 704-3222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337935-01
NY
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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