Tracey Ann Mendez LPN

NPI 1073855839 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1073855839
Gender Female
Enumeration Date 03/20/2013
Last Updated 03/20/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
175 KIBBIE LAKE RD
CONSTANTIA NY, 13044-2760, US
Phone (315) 708-4316
Fax
Business Location
175 KIBBIE LAKE RD
CONSTANTIA NY, 13044-2760, US
Phone (315) 708-4316
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 214879-1
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According to our database, Ms. Tracey Ann Mendez LPN NPI is 1073855839, taxonomy code is 164W00000X and license number is 214879-1, license state is located at New York. Tracey Ann Mendez LPN physically located at 175 Kibbie Lake Rd, Constantia NY, 13044-2760. NPI Number Tracey Ann Mendez LPN has the Individual type.

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1073855839 NPI number is provided on an as is basis without warranty of any kind. 1073855839 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Ann Mendez LPN are for informational purposes only.