Individual
MRS. RAQUEL MENDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1477 LOMALAND DR STE E7, EL PASO, TX 79935-4704
(915) 599-6690
(915) 592-7168
Mailing address
1600 MONTANA AVE, EL PASO, TX 79902-5622
(915) 887-3410
(915) 592-7168
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07359
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174792501
—
TX
Enumeration date
03/06/2007
Last updated
01/22/2010
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