Provider Demographics
NPI:1023635026
Name:MENDEZ, VANESSA L (CPC)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:L
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4306 VERMILION LN
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-1321
Mailing Address - Country:US
Mailing Address - Phone:509-537-2578
Mailing Address - Fax:
Practice Address - Street 1:4306 VERMILION LN
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-1321
Practice Address - Country:US
Practice Address - Phone:509-851-7799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor