Most Relevant Information
Provider Data
| NPI Number: | 1003317900 |
| Provider Name: | YESENIA IVETH MENDOZA |
| Entity Type: | Individual |
| Taxonomy Code: | 372600000X |
| Specialty: | Adult Companion |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/26/2018 |
| Last Updated: | 02/26/2018 |
Provider Practice Location
6725 S EASTERN AVE STE 1
LAS VEGAS
NV
891193949
Practice Location Phone/Fax
| Phone: | 7026462722 |
| Fax: |
Provider Mailing Location
2512 WINDY HILLS AVE
N LAS VEGAS
NV
890314357
Provider Mailing Phone/Fax
| Phone: | 7023796816 |
| Fax: |