NPI 1063194520

Manuel Mendez Zavala

Practitioner Driver North Branch, MN

Practice location

Address: 5869 Red Fox Run, North Branch, MN 55056-5083
Phone: (320) 465-1434

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1063194520
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2023
Record last updated: 3 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.