Individual
ADA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 N. BEACON ST, WATERTOWN, MA 02472-0247
(617) 924-3434
Mailing address
75 LOVERING ST, MEDWAY, MA 02053-2320
(617) 999-8842
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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