Provider Demographics
NPI:1932956109
Name:FLORES MENDOZA, MARIA RAQUEL
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:RAQUEL
Last Name:FLORES MENDOZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6230 CEDAR CROSSING LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-3781
Mailing Address - Country:US
Mailing Address - Phone:513-252-7793
Mailing Address - Fax:
Practice Address - Street 1:6230 CEDAR CROSSING LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-3781
Practice Address - Country:US
Practice Address - Phone:513-252-7793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-04
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker