Individual
MANUEL MENDEZ ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5869 RED FOX RUN, NORTH BRANCH, MN 55056-5083
(320) 465-1434
Mailing address
5869 RED FOX RUN, NORTH BRANCH, MN 55056-5083
(320) 465-1434
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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