Individual
HANNAH ELIZABETH MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
1320 W LOMBARD ST, DAVENPORT, IA 52804-2029
(563) 333-6069
Mailing address
2172 GROVELAND WAY, SHAKOPEE, MN 55379-4339
(612) 250-6111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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