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Individual
MRS. RACHEL MARIE MENDOZA
Active
Individual
MRS. RACHEL MARIE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19915
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1084058
THE NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANT
CA
01
—
19915
CALIFORNIA STATE PHYSICIAN ASSISTANT LICENSE
CA
Enumeration date
09/15/2008
Last updated
11/03/2023
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