Individual
STEPHANIE DANIELLE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
614 E EMMA AVE STE 300, SPRINGDALE, AR 72764-4469
(479) 751-7417
Mailing address
3936 WATERHOLE AVE, SPRINGDALE, AR 72764-6734
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
214675
AR
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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