Provider / Organization | NPI | Date Certified |
---|---|---|
JOSEPH JOHN BAZA MENDIOLA | 1013584333 | 2021-06-06 |
Joseph John Baza Mendiola is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1013584333. Registration indicates Joseph John Baza Mendiola is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Joseph John Baza Mendiola |
Practice Office Address | 133 ROUTE 3 DEDEDO, GU US |
Practice Office Telephone | 6719694844 |
Mailing Address | PO BOX 5786 HAGATNA, GU 969328669 US |
Business Telephone | 6717775925 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |