Individual
MRS. ESMERALDA C MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CG61416144
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
WDL462P9463B
WA
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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