Individual
CHRIS ANTHONY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 DELAND CT, CHESAPEAKE, VA 23322-8649
(757) 618-0467
Mailing address
605 DELAND CT, CHESAPEAKE, VA 23322-8649
(757) 618-0467
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
T67247418
VA
Other
Enumeration date
12/08/2013
Last updated
12/08/2013
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