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Individual

CHRISTY MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCH

Contact information

Practice address
820 HWY 478, ANTHONY, NM 88021
(505) 882-5101
(505) 882-6127
Mailing address
P.O. BOX 2285, LAS CRUCES, NM 88004
(505) 882-5101
(505) 882-6127

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/12/2007
Last updated
07/12/2007
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