Individual
MICHEL A MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 E FREDERICK ST, LANCASTER, PA 17602-2222
(717) 394-9821
(717) 394-0175
Mailing address
PO BOX 783068, PHILADELPHIA, PA 19178-3068
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN614264
PA
Other
Enumeration date
06/18/2018
Last updated
06/11/2024
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