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Mrs. Christa Quilaneta Mendoza, MAS
Student in an Organized Health Care Education/Training Program in Coram, New York
NPI 1013325737

Christa Quilaneta Mendoza is a Student in an Organized Health Care Education/Training Program based in Coram, NY. Christa Quilaneta Mendoza practices in Coram, NY and has the professional credentials of MAS. The NPI Number for Christa Quilaneta Mendoza is 1013325737 and holds a License No. (New York).

The current practice location address for Christa Quilaneta Mendoza is 2505 Townehouse Dr, Coram, NY and can be reached out via phone at 631-846-9213.

Location: 2505 Townehouse Dr, Coram, NY, 11727-2867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013325737
Provider Name
Christa Quilaneta Mendoza
Credential
MAS
Provider Entity Type
Individual
Gender
Female
Address
2505 Townehouse Dr, Coram, NY, 11727-2867
Phone Number
631-846-9213
Fax Number
Provider Enumeration Date
07/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2505 Townehouse Dr
City
Coram
State
New York
Zip
11727-2867
Phone Number
631-846-9213
Fax Number
person
Provider Business Mailing Address Details
Address
2505 Townehouse Dr
City
Coram
State
New York
Zip
11727-2867
Phone Number
631-846-9213
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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