Individual
BENITO RAMON MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3912 GEORGIA AVE NW, WASHINGTON, DC 20011-5861
(202) 483-8196
Mailing address
3912 GEORGIA AVE NW, WASHINGTON, DC 20011-5861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1020058
DC
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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