Individual
MRS. DIANE MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 VALLEY DR, THIELLS, NY 10984-1418
(845) 942-8441
Mailing address
19 VALLEY DR, THIELLS, NY 10984-1418
(845) 942-8441
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
840489
NY
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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