Individual
IVONNE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6704 RUBY GLASS RD, LANSING, MI 48917-9733
(517) 410-7899
(517) 913-5970
Mailing address
6704 RUBY GLASS RD, LANSING, MI 48917-9733
(517) 410-7899
(517) 913-5970
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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