Vidal Mateo Mendoza III

NPI #1891524740 in Polacca, Arizona

Provider Information

NPI Number: 1891524740
Entity Type: Individual
Name: Vidal Mateo Mendoza III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 30, 2024
Last Updated: Jul 30, 2024

Practice Location

Address: HIGHWAY 264 MILE POST 388
City: Polacca
State: Arizona
ZIP Code: 86042
Phone: (928) 737-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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