Individual
JOSUE B MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118
Mailing address
9500 ROBINSON FARM RD, OOLTEWAH, TN 37363-6881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN0000172143
TN
Other
Enumeration date
11/08/2017
Last updated
12/12/2017
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