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Individual

TERESA A. MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1270 LEE BLVD STE A, RICHLAND, WA 99352-4231
(509) 942-3180
(509) 943-9722
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN60330094
WA
363L00000X
Nurse Practitioner
Primary
AP61336937
WA

Other

Enumeration date
05/06/2022
Last updated
08/24/2022
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