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Individual

MRS. IRVETTE VIANEY MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
122 PETERSON DR, RIO GRANDE CITY, TX 78582-6707
(956) 763-4335
Mailing address
122 PETERSON DR, RIO GRANDE CITY, TX 78582-6707

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
696468
TX

Other

Enumeration date
07/23/2024
Last updated
07/23/2024
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