COLLEEN MENDIETA

SURPRISE, AZ
NPI1548591159
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  LP047649)
Enumeration Date2010-01-21
Last Update Date2015-12-08
Business Address
-- COLLEEN MENDIETA
15802 N PARKVIEW PL
SURPRISE, AZ 85374-7466
Phone number: 623-523-8750
Mailing Address
-- COLLEEN MENDIETA
15802 N PARKVIEW PL
SURPRISE, AZ 85374-7466
Phone number: 623-523-8750