EMMANUEL MENDOZA

VANCLEAVE, MS
NPI1225856602
Other NameMANNY MENDOZA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MS  PA00846)
Enumeration Date2024-10-02
Last Update Date2025-02-25
Business Address
EMMANUEL MENDOZA PA-C
6300 E LAKE BLVD STE 201
VANCLEAVE, MS 39565-6771
Phone number: 228-230-2663
Mailing Address
EMMANUEL MENDOZA PA-C
6300 E LAKE BLVD STE 301
VANCLEAVE, MS 39565-6771
Phone number: 228-230-2663