Individual
EUNICE M MENTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5290 STATE ST, KELSEYVILLE, CA 95451-9450
(707) 279-8813
Mailing address
5290 STATE ST, KELSEYVILLE, CA 95451-9450
(707) 279-8813
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
800733
CA
363LF0000X
Family Nurse Practitioner
Primary
21207
CA
Other
Enumeration date
01/30/2007
Last updated
01/10/2014
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