Individual
MARK MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
888 S KING ST, HONOLULU, HI 96813-3097
(808) 522-4344
Mailing address
95-1047 HAKALA ST, MILILANI, HI 96789-4256
(808) 382-4364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2393
HI
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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