Individual
MRS. ALYSIA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 JORDAN PLZ, ELIZABETH CITY, NC 27909-4568
(252) 267-7018
Mailing address
121 JORDAN PLZ, ELIZABETH CITY, NC 27909-4568
(252) 267-7018
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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