Amanda Mendoza, PA
NPI #1013620707 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1013620707
- Entity Type
- Individual
- Name
- Amanda Mendoza, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Dec 28, 2022
- Last Updated
- Aug 12, 2024
Practice Location
- Address
- 100 MICHIGAN ST NE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503-2560
- Phone
- (616) 391-8640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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