Individual
MICHAEL MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNS
Contact information
Practice address
4560 CRAIN HWY STE 11, WHITE PLAINS, MD 20695-3084
(240) 210-9725
Mailing address
4560 CRAIN HWY STE 11, WHITE PLAINS, MD 20695-3084
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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