Individual
HAILEY RAE MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 FRANKFORD AVE APT 110, LUBBOCK, TX 79416-1521
(806) 781-6939
Mailing address
310 FRANKFORD AVE APT 110, LUBBOCK, TX 79416-1521
(806) 781-6939
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
22104
TX
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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