Emmanuel Mendoza, PA-C

NPI #1225856602 in Vancleave, Mississippi

Provider Information

NPI Number: 1225856602
Entity Type: Individual
Name: Emmanuel Mendoza, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 2, 2024
Last Updated: Feb 25, 2025

Practice Location

Address: 6300 E LAKE BLVD STE 201
City: Vancleave
State: Mississippi
ZIP Code: 39565-6771
Phone: (228) 230-2663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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