MEDICARE: MARIA ROSA MENDOZA INTERPRETER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter	MC7760	WA

General Provider Information

NPI Number	:	1306428214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ROSA MENDOZA INTERPRETER

Provider Business Mailing Address
First Line	:	PO BOX 631
Second Line	:
City	:	ROCK ISLAND
State	:	WA
Zip	:	98850-0631
Country	:	US
Telephone Number	:	509-699-1938
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 ELGIN AVE
Second Line	:
City	:	ROCK ISLAND
State	:	WA
Zip	:	98850-5802
Country	:	US
Telephone Number	:	509-699-1938
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2021
Last Update Date	:	04/21/2021

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