Individual
GIANNA MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13520 CALUMET AVE, CEDAR LAKE, IN 46303-9732
(619) 917-1225
Mailing address
13520 CALUMET AVE, CEDAR LAKE, IN 46303-9732
(619) 917-1225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28258997A
IN
163W00000X
Registered Nurse
4704386078
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
28258997A
IN
Other
Enumeration date
03/04/2024
Last updated
08/19/2025
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