Individual
JOSETTE MENDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3088 WASHINGTON RD, EAST POINT, GA 30344-4566
(470) 444-3135
(404) 777-9336
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN315369
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN315369
GA
Other
Enumeration date
02/13/2025
Last updated
02/24/2025
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