Individual
ALLISON KATHLEEN MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2301 N MARVIN AVE, ODESSA, TX 79763-6302
(432) 559-3299
Mailing address
2301 N MARVIN AVE, ODESSA, TX 79763-6302
(432) 559-3299
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-313057
TX
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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