Kimberly Lynn Mendoza PA-C

NPI 1174649933 - Physician Assistant - 363A00000X

NPI Details
NPI 1174649933
Gender Female
Enumeration Date 03/22/2007
Last Updated 11/09/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
19465 DEERFIELD AVENUE
SUITE 405
LEESBURG VA, 20176-1707, US
Phone (703) 858-1800
Fax (703) 858-1801
Business Location
21149 HAYSHIRE CT
ASHBURN VA, 20147-5413, US
Phone (703) 723-3356
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Virginia
License Number 0110001932
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According to our database, Mrs. Kimberly Lynn Mendoza PA-C NPI is 1174649933, taxonomy code is 363A00000X and license number is 0110001932, license state is located at Virginia. Kimberly Lynn Mendoza PA-C physically located at 19465 Deerfield Avenue, Leesburg VA, 20176-1707. NPI Number Kimberly Lynn Mendoza PA-C has the Individual type.

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1174649933 NPI number is provided on an as is basis without warranty of any kind. 1174649933 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Lynn Mendoza PA-C are for informational purposes only.