Individual
MRS. NICOLE MENDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
71 UNION AVE, RUTHERFORD, NJ 07070-1274
(973) 713-5581
Mailing address
31 JEFFERSON TRL, HOPATCONG, NJ 07843-1266
(973) 713-5581
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NJ
Other
Enumeration date
09/09/2019
Last updated
09/08/2021
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