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Individual

KENNETTE MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3460 SARATOGA AVE, DOWNERS GROVE, IL 60515-1348
(630) 971-1995
Mailing address
3460 SARATOGA AVE, DOWNERS GROVE, IL 60515-1348
(630) 971-1995

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043108931
IL

Other

Enumeration date
09/28/2021
Last updated
09/28/2021
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