Individual
MS. SHELLY ALLISON MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2211 NORTH VALLEY DRIVE, LAS CRUCES, NM 88007
(575) 527-7911
(575) 527-4287
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72545
—
NM
Enumeration date
04/17/2013
Last updated
10/21/2015
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