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Individual

MS. SUSAN MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4500 S LANCASTER ROAD, VA NORTH TEXAS HEALTH CARE SYSTEM, DALLAS, TX 75216
(214) 857-0476
Mailing address
8405 EAGLE DR, ROWLETT, TX 75088-7626
(972) 475-9107

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
241141
TX

Other

Enumeration date
10/09/2008
Last updated
10/09/2008
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