JUAN MENDOZA

LAS CRUCES, NM
NPI1326420951
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: NM  0169701)
Enumeration Date2015-06-19
Last Update Date2015-06-19
Business Address
-- JUAN MENDOZA
715 E. IDAHO
LAS CRUCES, NM 88007
Phone number: 575-524-2505
Mailing Address
-- JUAN MENDOZA
4939 SHERWOOD DR.
LAS CRUCES, NM 88012
Phone number: 575-524-2505
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