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Individual
JOB MILLER MENDEZ
Active
Individual
JOB MILLER MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95080477
CA
363LF0000X
Family Nurse Practitioner
Primary
95025137
CA
Other
Enumeration date
05/01/2023
Last updated
07/03/2023
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