Individual
ANGEL GABRIELLE MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4304 OLD SCIOTO TRL, PORTSMOUTH, OH 45662-6672
(740) 351-9298
(740) 529-0553
Mailing address
4304 OLD SCIOTO TRL, PORTSMOUTH, OH 45662-6672
(740) 351-9298
(740) 529-0553
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.170787.MEDS-IV
OH
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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