| NPI | 1922283043 |
|---|---|
| Doing Business As | LAURIE J. MENDIOLA |
| Entity Type | Organization |
| Authorized Contact | LAURIE J MENDIOLA Owner 505-830-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |