MISS Tara Lee Mendieta, LPN
NPI #1992033476 in Russells Point, Ohio
Provider Information
- NPI Number
- 1992033476
- Entity Type
- Individual
- Name
- MISS Tara Lee Mendieta, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Nov 22, 2009
- Last Updated
- Nov 22, 2009
Practice Location
- Address
- 622 STATE ROUTE 708
- City
- Russells Point
- State
- Ohio
- ZIP Code
- 43348-9710
- Phone
- (419) 575-2055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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