Individual
DR. ALYSIA ANNE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 CHILDRENS AVE STE 14000, OKLAHOMA CITY, OK 73104-4637
(405) 271-4407
Mailing address
3315 KETHLEY RD, SHAWNEE, OK 74804-9638
(580) 916-2842
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
05/30/2017
Last updated
07/21/2022
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