Provider Demographics
NPI:1326700329
Name:MENDOZA, ERLINDA MARILU
Entity Type:Individual
Prefix:
First Name:ERLINDA
Middle Name:MARILU
Last Name:MENDOZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERLINDA
Other - Middle Name:MARILU
Other - Last Name:MENDOZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 MERIDIAN PL NW APT 411
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3053
Mailing Address - Country:US
Mailing Address - Phone:202-423-5156
Mailing Address - Fax:
Practice Address - Street 1:1500 MERIDIAN PL NW APT 411
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3053
Practice Address - Country:US
Practice Address - Phone:202-423-5156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent