Individual
MARLEYNA M MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3701 SUNDANCE ST SW, LOS LUNAS, NM 87031
(505) 866-0185
Mailing address
18 PINON AVE, LOS LUNAS, NM 87031-7685
(505) 307-6221
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
86316
NM
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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