| Doctor Name: | ROSELVA MENDOZA ROSETELOPEZ |
| NPI Number: | 1306894605 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN120451 |
| Business Practice Address: | 1901 Anzio Street Fort Irwin, CA - 923101613 |
| Business Phone Number: | 7603861490 |
| Business Fax Number: | |
| Mailing Address: | 1901 Anzio St, FORT IRWIN |
| State: | CA |
| Postal Code: | 923101613 |
| Phone Number: | 7603861490 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WX0003X |
| License Number: | RN120451 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Obstetric, Inpatient |
| Taxonomy Definition: | |