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Individual
DENISE DIANETTE MENDOZA
Active
Individual
DENISE DIANETTE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN,PHN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
164X00000X
Licensed Vocational Nurse
Primary
718330
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
95424718
CA
Other
Enumeration date
01/18/2022
Last updated
07/10/2026
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