NPI 1073149944
Russell Mendez
Practice location
- Address
- 1786 Kinoole St, Hilo, HI 96720-5245
- Phone
- (714) 316-3868
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1073149944
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Mar 2020
- Record last updated
- 23 Mar 2020
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.