Individual
ANGELA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
BUILDING 327, CAMP LEJEUNE, NC 28547
(808) 782-3127
Mailing address
4704 ACORN CREEK TRL, KILLEEN, TX 76542-8490
(808) 782-3127
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/31/2011
Last updated
09/11/2014
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