Harold Lisandro Mendoza Moreno, RSA
NPI #1366879330 in Plainfield, Illinois
Provider Information
- NPI Number
- 1366879330
- Entity Type
- Individual
- Name
- Harold Lisandro Mendoza Moreno, RSA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- RSA
- Enumeration Date
- Oct 4, 2013
- Last Updated
- Mar 19, 2024
Practice Location
- Address
- 26536 W COUNTRYSIDE LN
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60585-2324
- Phone
- (630) 258-0401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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