Individual
CRISTINA MENDOZA PATIAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
415 W LANDIS AVE STE 100, VINELAND, NJ 08360-8124
(856) 696-5340
Mailing address
415 W LANDIS AVE STE 100, VINELAND, NJ 08360-8124
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1922246438
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ01140700
LICENSE #
NJ
Enumeration date
06/25/2021
Last updated
01/15/2024
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