Individual
MRS. ANNETTE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH
Contact information
Practice address
CALLE 24, 3RA VILLA CAROLINA, #76-10, CAROLINA, PR 00985
(787) 757-1404
Mailing address
CALLE 24, 3RA VILLA CAROLINA, #76-10, CAROLINA, PR 00985
(787) 757-1404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
004203
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004203
LICENSE
PR
01
—
066038
REGISTRATION
PR
Enumeration date
08/09/2007
Last updated
08/09/2007
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