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NPI Code Detail

MEDICARE: GLADYS MENDOZA

MEDICARE: GLADYS MENDOZA
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
1106S00000XBehavior TechnicianNV

General Provider Information

NPI Number : 1306701081
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLADYS MENDOZA
Provider Business Mailing Address
First Line : 6200 N DURANGO DR STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3939
Country : US
Telephone Number : 702-577-2606
Fax Number : 702-710-6023
Provider Business Practice Location Address
First Line : 6200 N DURANGO DR STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3939
Country : US
Telephone Number : 702-577-2606
Fax Number : 702-710-6023
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ GLADYS MENDOZA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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