Individual
ARMANDO IVAN MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19318 KELLY AVE, EL PASO, TX 79938-8225
(254) 371-7863
Mailing address
19318 KELLY AVE, EL PASO, TX 79938-8225
(254) 371-7863
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
348611
TX
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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