Individual
ARYSSA JAZZMYNE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4221 JONES AVE, RIVERSIDE, CA 92505-2918
(951) 403-7698
Mailing address
4221 JONES AVE, RIVERSIDE, CA 92505-2918
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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