Agnes Maria Mendoza

NPI 1174647812 - Contractor - 171W00000X

NPI Details
NPI 1174647812
Gender Female
Enumeration Date 03/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5980 W 71ST ST
SUITE 201
INDIANAPOLIS IN, 46278-2711, US
Phone (317) 388-0800
Fax (317) 388-0805
Business Location
5980 W 71ST ST
SUITE 201
INDIANAPOLIS IN, 46278-2711, US
Phone (317) 388-0800
Fax (317) 388-0805
Toxanomy
Taxonomy Code 171W00000X
License State Indiana
License Number 05008562A
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According to our database, Agnes Maria Mendoza NPI is 1174647812, taxonomy code is 171W00000X and license number is 05008562A, license state is located at Indiana. Agnes Maria Mendoza physically located at 5980 W 71st St, Indianapolis IN, 46278-2711. NPI Number Agnes Maria Mendoza has the Individual type.

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1174647812 NPI number is provided on an as is basis without warranty of any kind. 1174647812 is maintained by the National Plan & Provider Enumeration System. The contents of Agnes Maria Mendoza are for informational purposes only.