Individual
BLAIR R MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
440 HIGH ST, STE A, BOWLING GREEN, KY 42101-1707
(270) 282-7105
(270) 282-7109
Mailing address
104 MOHAWK ST, BROWNSVILLE, KY 42210-9006
(270) 597-2155
(270) 597-3811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010020
KY
Other
Enumeration date
04/28/2016
Last updated
02/10/2017
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