Individual
ANGELA MENDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 HAWKINS BLVD, EL PASO, TX 79925-2648
(915) 995-2412
Mailing address
1535 HAWKINS BLVD, EL PASO, TX 79925-2648
(915) 995-2412
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/15/2023
Last updated
11/21/2024
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