Individual
DENNIS NEAL MENDOZA DIMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
206 PIERRE DR, MANTECA, CA 95337-7855
(510) 754-0965
Mailing address
206 PIERRE DR, MANTECA, CA 95337-7855
(510) 754-0965
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95016762
CA
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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