Individual
YVETTE MENDONCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCSS
Contact information
Practice address
908 N RIVERSIDE DR STE 6, ESPANOLA, NM 87532-2916
(505) 367-3500
(505) 367-3503
Mailing address
908 N RIVERSIDE DR STE 6, ESPANOLA, NM 87532-2916
(505) 367-3500
(505) 367-3503
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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