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Individual

LEAH MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 473-4800
Mailing address
170 CAMINO SOBRANTE, ORINDA, CA 94563-2329
(510) 206-8631

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
787612
CA
363L00000X
Nurse Practitioner
95016312
CA

Other

Enumeration date
03/17/2021
Last updated
05/14/2021
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