Individual
JESSICA MENDEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
828 MYER LN, KERMIT, TX 79745-4634
(432) 586-2040
Mailing address
132 ARAPAHO, ODESSA, TX 79763-7853
(432) 312-6624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18461
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2022
Last updated
12/06/2024
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