Individual
WANDA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT-PARAMEDIC
Contact information
Practice address
119 TERRY AVE, HURLBURT FIELD, FL 32544
(609) 284-8410
Mailing address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(850) 883-8663
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/17/2012
Last updated
01/08/2024
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