Individual
RITA N. MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8718
Mailing address
2137 E ALPINE AVE., STOCKTON, CA 95205
(209) 762-7158
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
36018
CA
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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