Individual
RACHELLE PACAANAS MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE RM S626, CHICAGO, IL 60637-1443
(718) 270-8173
(718) 270-3313
Mailing address
601 ELMWOOD AVENUE, BOX 626, ROCHESTER, NY 14642-0001
(585) 275-5662
(585) 276-2390
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036.155003
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036155003
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
315420
NY
Other
Enumeration date
08/09/2017
Last updated
08/03/2023
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