Individual
BRENDA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 BABCOCK RD, SAN ANTONIO, TX 78229-4425
(210) 731-9570
Mailing address
11503 JIM TERRILL RD, ADKINS, TX 78101-2802
(210) 429-1783
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
336477
TX
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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