Individual
DANIEL JESSE MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LRN
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 317-6070
(907) 729-5178
Mailing address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 317-6070
(907) 729-5178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26341
AK
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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