Individual
DAISY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6711 ARLINGTON AVE STE C, RIVERSIDE, CA 92504-1966
(951) 637-1551
Mailing address
8537 TREY AVE, RIVERSIDE, CA 92503-1880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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