Individual
GWENDOLYN MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6138 BANKS PL NE, WASHINGTON, DC 20019-7912
(202) 910-0223
Mailing address
6138 BANKS PL NE, WASHINGTON, DC 20019-7912
(202) 910-0223
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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