| NPI | 1023741444 |
|---|---|
| Former Name | LUIS E MENDEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11020419) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020419) |
| Enumeration Date | 2022-07-04 |
| Last Update Date | 2024-09-01 |