Most Relevant Information
Provider Data
NPI Number: | 1003633405 |
Provider Name: | ROSALINDA-ANA BENAVIDEZ MENDOZA RN |
Entity Type: | Individual |
Taxonomy Code: | 163W00000X |
Specialty: | Registered Nurse |
License Number: | 61587663 |
Most Important Dates
Enumeration Date: | 09/25/2024 |
Last Updated: | 09/25/2024 |
Provider Practice Location
201 7TH ST
HOQUIAM
WA
985502506
Practice Location Phone/Fax
Phone: | 3605325454 |
Fax: |
Provider Mailing Location
2817 BAY AVE
HOQUIAM
WA
985504210
Provider Mailing Phone/Fax
Phone: | |
Fax: |