Individual
PRIMO GREGORY MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1136 PORTER AVE, STOCKTON, CA 95207-4214
(209) 914-0094
Mailing address
1136 PORTER AVE, STOCKTON, CA 95207-4214
(209) 914-0094
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
About Stedi
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