Individual
MRS. AURELIA G MENDIOLA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5 CANAL STREET, SAN JOSE, TINIAN, MP 96952
(670) 433-4750
(670) 433-4751
Mailing address
P.O. BOX 5723 CHRB, SAIPAN, MP 96950
(670) 783-2468
(670) 256-5244
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
0046
MP
363LW0102X
Women's Health Nurse Practitioner
Primary
NP08005
MP
Other
Enumeration date
05/14/2007
Last updated
03/22/2023
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