Individual
DEIONNA MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COLLEGE HL, CANTON, MO 63435-1299
(636) 497-0481
Mailing address
135 CIMARRON SUMMIT WAY, WENTZVILLE, MO 63385-5018
(636) 497-0481
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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