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NPI Code Detail

MEDICARE: AUGIE MENDOZA

MEDICARE:   AUGIE  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
1376J00000XHomemaker

General Provider Information

NPI Number : 1831088541
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUGIE MENDOZA
Provider Business Mailing Address
First Line : 1615 JACKSON ST
Second Line :
City : SIOUX CITY
State : IA
Zip : 51105-1137
Country : US
Telephone Number : 712-259-0582
Fax Number :
Provider Business Practice Location Address
First Line : 1615 JACKSON ST
Second Line :
City : SIOUX CITY
State : IA
Zip : 51105-1137
Country : US
Telephone Number : 712-259-0582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2025
Last Update Date : 06/30/2025

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Directions to “ AUGIE MENDOZA ” Practice Location

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