Individual
MARISELA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 N 17TH AVE, GREELEY, CO 80631-9117
(970) 304-6420
Mailing address
1828 BIRCH AVE, GREELEY, CO 80631-6143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0191253
CO
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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