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Marc Mendoza
Student in an Organized Health Care Education/Training Program in Springfield, Virginia
NPI 1023728813

Marc Mendoza is a Student in an Organized Health Care Education/Training Program based in Springfield, VA. Marc Mendoza practices in Springfield, VA. The NPI Number for Marc Mendoza is 1023728813 and holds a License No. (Virginia).

The current practice location address for Marc Mendoza is 6805 Industrial Rd Ste 3100, Springfield, VA and can be reached out via phone at 703-256-2171.

Location: 6805 Industrial Rd Ste 3100, Springfield, VA, 22150-3625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023728813
Provider Name
Marc Mendoza
Credential
Provider Entity Type
Individual
Gender
Male
Address
6805 Industrial Rd Ste 3100, Springfield, VA, 22150-3625
Phone Number
703-256-2171
Fax Number
Provider Enumeration Date
12/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6805 Industrial Rd Ste 3100
City
Springfield
State
Virginia
Zip
22151-4206
Phone Number
703-256-2171
Fax Number
person
Provider Business Mailing Address Details
Address
6805 Industrial Rd Ste 3100
City
Springfield
State
Virginia
Zip
22151-4206
Phone Number
703-256-2171
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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