Individual
ADRIANNA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 LAS PALMAS AVE, CRYSTAL CITY, TX 78839
(830) 854-0000
Mailing address
308 LAS PALMAS AVE, CRYSTAL CITY, TX 78839
(830) 854-0000
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
353655
TX
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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