Individual
JESUS JAIME MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E YUMA AVE, MCALLEN, TX 78503-1388
(956) 682-4224
Mailing address
301 E YUMA AVE, MCALLEN, TX 78503-1388
(956) 682-4224
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2072361
TX
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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