Individual
MISS MAEGAN MERCY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 S BERETANIA ST STE 102, HONOLULU, HI 96814-1871
(407) 985-0228
Mailing address
1401 S BERETANIA ST STE 102, HONOLULU, HI 96814-1871
(407) 985-0228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD1179
HI
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
12/25/2021
Last updated
02/27/2023
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