Individual
MARIEL ANNE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 WICKFORD RD, UNION, NJ 07083-6552
(347) 605-0590
Mailing address
2350 WICKFORD RD, UNION, NJ 07083-6552
(347) 605-0590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
666631
NY
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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