Individual
MRS. ESMERALDA C MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CG61416144
Contact information
Practice address
425 E MAIN ST STE 600, OTHELLO, WA 99344-1146
(509) 488-5611
Mailing address
1000 E MT BAKER ST, OTHELLO, WA 99344-5509
(509) 346-0118
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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