Individual
LISA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 N GRANDVIEW LN, BISMARCK, ND 58503-0843
(701) 226-8757
Mailing address
1924 N GRANDVIEW LN, BISMARCK, ND 58503-0843
(701) 226-8757
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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