Individual
DR. CANDIS RAE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2706 BILL OWENS PKWY, LONGVIEW, TX 75605-2136
(903) 759-7595
Mailing address
2706 BILL OWENS PKWY, LONGVIEW, TX 75605-2136
(903) 759-7595
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710058276
PRACTICE NPI
TX
Enumeration date
09/29/2008
Last updated
09/01/2010
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