Individual
SIMON MENDOZA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6240 TACOMA MALL BLVD STE 101, TACOMA, WA 98409-6819
(253) 271-9720
(253) 212-3372
Mailing address
600 ORONDO AVE, STE 1, WENATCHEE, WA 98801-2800
(509) 662-6000
(509) 664-4590
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60672657
WA
Other
Enumeration date
02/27/2015
Last updated
08/03/2023
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