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Organization

BREEZY MENDOZA NP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BREEZY MENDOZA NP (OWNER)
(480) 257-6383
Entity
Organization

Contact information

Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(480) 257-6383
Mailing address
10031 W VIA MONTOYA DR, PEORIA, AZ 85383-3299
(480) 257-6383

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
02/01/2021
Last updated
02/01/2021
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