Individual
JESUS DANNY MENDIOLA-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
538 E TERRACE VIEW DR, SHELTON, WA 98584-1828
(360) 490-8067
Mailing address
538 E TERRACE VIEW DR, SHELTON, WA 98584-1828
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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