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Individual

SANJANI MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2719 BLAKELY LN, FAIRFIELD, CA 94533-6647
(510) 334-1702
Mailing address
2719 BLAKELY LN, FAIRFIELD, CA 94533-6647

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
747018
CA
163WM0705X
Medical-Surgical Registered Nurse
747018
CA

Other

Enumeration date
08/04/2016
Last updated
08/04/2016
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