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Individual

JERSON MUNOZ MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3343 SPRINGHILL DR STE 1035, NORTH LITTLE ROCK, AR 72117-2930
(501) 202-4345
Mailing address
3450 WAYNE AVE, 6H, BRONX, NY 10467
(650) 483-5241

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
E-11286
AR
390200000X
Student in an Organized Health Care Education/Training Program
TRN16540
FL
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
06/22/2011
Last updated
04/03/2018
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