Individual
MS. JOANNE L MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4489
Mailing address
189 HECKEL ST, BELLEVILLE, NJ 07109-1005
(973) 650-2848
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00189600
NJ
Other
Enumeration date
10/30/2007
Last updated
05/09/2008
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