Individual
JENNA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 DAKOTA AVE N # A, HURON, SD 57350-1630
(605) 352-9222
Mailing address
601 W 7TH AVE, LENNOX, SD 57039-2421
(605) 553-3822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6821
SD
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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