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Joseph John Baza Mendiola

NPI Registration Record

Provider / OrganizationNPIDate Certified
JOSEPH JOHN BAZA MENDIOLA10135843332021-06-06

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 TypeIndividual
Provider Name Joseph John Baza Mendiola
Practice Office Address133 ROUTE 3
DEDEDO, GU US
Practice Office Telephone6719694844
Mailing AddressPO BOX 5786
HAGATNA, GU 969328669 US
Business Telephone6717775925
HPT Codes
CodePractice
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
OPI Codes

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