Individual
DR. YOLANDA MARIA MIROBALLI MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-2273
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31114
NE
208D00000X
General Practice Physician
31114
NE
Other
Enumeration date
04/15/2017
Last updated
08/08/2024
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