Individual
PHYLLIS JEAN MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 38TH ST, FORT MADISON, IA 52627-3210
(319) 371-9348
Mailing address
1502 38TH ST, FORT MADISON, IA 52627-3210
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
288359
IA
Other
Enumeration date
10/19/2020
Last updated
10/30/2020
About Stedi
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