Individual
MRS. HOLLY RAE MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
USCG HQ COMDT (CG-1122), 2100 SECOND ST., SW, WASHINGTON, DC 20593-0001
(202) 475-5181
(202) 475-5909
Mailing address
USCG HQ COMDT (CG-1122), 2100 SECOND ST., SW, WASHINGTON, DC 20593-0001
(202) 475-5181
(202) 475-5909
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
11/16/2007
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