NPI | 1710343272 |
---|---|
Other Name | ALEX MENDOZA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177107) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9283983) |
Enumeration Date | 2016-01-13 |
Last Update Date | 2019-02-01 |