Provider Demographics
NPI:1689409708
Name:MENDOZA-HARRIS, KARLA G (MA, PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:G
Last Name:MENDOZA-HARRIS
Suffix:
Gender:F
Credentials:MA, PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:205 S PRATT AVE
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-4730
Mailing Address - Country:US
Mailing Address - Phone:775-882-3945
Mailing Address - Fax:775-882-6126
Practice Address - Street 1:205 S PRATT AVE
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-4730
Practice Address - Country:US
Practice Address - Phone:775-882-3945
Practice Address - Fax:775-882-6126
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV68282-AL-1246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy