Individual
ALYSSA FABIOLA MENDIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 795-8100
Mailing address
310 ROCKPILE CREEK LN, LAREDO, TX 78045-4003
(956) 523-9067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1130701
TX
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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