Miriam A Mendoza

NPI #1093232894 in Winfield, Illinois

Provider Information

NPI Number: 1093232894
Entity Type: Individual
Name: Miriam A Mendoza
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 23, 2017
Last Updated: Jul 12, 2021

Practice Location

Address: 28W671 GARYS MILL RD
City: Winfield
State: Illinois
ZIP Code: 60190-1564
Phone: (630) 293-9860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X

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