Individual
JORGE LUIS MENDOZA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
7749 WENDA DR, EL PASO, TX 79915-2917
(254) 317-6737
Mailing address
7749 WENDA DR, EL PASO, TX 79915-2917
(254) 317-6737
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
733842
TX
Other
Enumeration date
12/17/2019
Last updated
11/27/2023
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