Individual
BETHANY ROSE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 MED PARK DR, LAS CRUCES, NM 88005-3236
(575) 523-7243
Mailing address
4820 NORTHWIND RD, LAS CRUCES, NM 88007-5518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF7416
NM
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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