Individual
DR. STEPHANIE REBECCA MENDOZA-BALLENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
20414 N 51ST DR, GLENDALE, AZ 85308-9314
(151) 263-5239
Mailing address
5924 TALLEY CT, N LAS VEGAS, NV 89081-6670
(702) 927-9641
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
21-1675
AZ
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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