Individual
DR. LORETA A MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1034 S BRENTWOOD BLVD STE 1250, FOREST PARK MEDICAL CLINIC, ST,LOUIS, MO 63117-1263
(314) 367-6600
(314) 367-5982
Mailing address
11845 CRESTA VERDE DR, APTC, SAINT LOUIS, MO 63146-4746
(314) 997-5997
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
34045
MO
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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