Individual
MARY GRACE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 697-3768
(808) 697-3347
Mailing address
91-3598 NANA HOPE ST UNIT 1414, EWA BEACH, HI 96706-6846
(718) 509-7044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3285-0
HI
363LF0000X
Family Nurse Practitioner
F342032-1
NY
Other
Enumeration date
07/24/2018
Last updated
12/14/2021
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