Individual
MARILOU ABELLANA MENDOZA
Active
Individual
MARILOU ABELLANA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
001480
NV
363LP2300X
Primary Care Nurse Practitioner
809970
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95009540
CA
Other
Enumeration date
02/08/2013
Last updated
06/22/2021
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