Individual
MS. TRICIA POBLETE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 BORTHWICK AVE STE 100, PORTSMOUTH, NH 03801-4198
(603) 436-5110
Mailing address
20 LADD STREET, SUITE 404, PORTSMOUTH, NH 03801
(603) 205-2953
(603) 433-6341
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
246874
NY
2084P0805X
Geriatric Psychiatry Physician
Primary
14388
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03061869
—
NY
01
—
14388
NH LICENSE
NH
05
—
3098096
—
NH
Enumeration date
01/16/2008
Last updated
02/12/2024
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