Individual
AILEEN MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5890 W 13TH ST STE 101, GREELEY, CO 80634-4821
(970) 810-0020
Mailing address
4175 PENNYCRESS DR, JOHNSTOWN, CO 80534-8242
(970) 556-5184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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