Individual
MIRANDA S MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, LCPM, CPM
Contact information
Practice address
2010 E 38TH ST STE 201B, DAVENPORT, IA 52807-1179
(309) 644-0485
Mailing address
2010 E 38TH ST STE 201B, DAVENPORT, IA 52807-1179
(309) 644-0485
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
295.001081
IL
176B00000X
Midwife
Primary
CPM0011
IA
Other
Enumeration date
08/06/2024
Last updated
08/27/2025
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