Individual
KEVIN RICKY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
31647 CHELSEA WAY, TEMECULA, CA 92592-5846
(760) 518-7288
Mailing address
31647 CHELSEA WAY, TEMECULA, CA 92592-5846
(760) 518-7288
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95140062
CA
Other
Enumeration date
12/29/2020
Last updated
12/30/2020
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