Individual
DR. MIZRAIM LEYVA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1664
(602) 263-1621
Mailing address
5718 N LAGUNA DR, LITCHFIELD PARK, AZ 85340-7386
(623) 337-5906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14396
AZ
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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