Individual
MRS. ELLENA T MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
1410 VALLEY VIEW DR, STE 305, DELTA, CO 81416-3130
(970) 874-7178
(970) 874-7178
Mailing address
1410 VALLEY VIEW DR, STE 305, DELTA, CO 81416-3130
(970) 874-7178
(970) 874-7178
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
608
CO
Other
Enumeration date
06/30/2008
Last updated
05/27/2009
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