TARA AUTUMN MENDOZA

BEDFORD, IN
NPI1366742488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71003400A)
Enumeration Date2010-10-22
Last Update Date2024-01-18
Business Address
TARA AUTUMN MENDOZA FNP
2418 16 STREET
BEDFORD, IN 47421
Phone number: 812-508-8683
Mailing Address
TARA AUTUMN MENDOZA FNP
2418 16TH ST
BEDFORD, IN 47421-3049
Phone number: 812-508-8683
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