Individual
DORRIS MENDONCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
100 E CYPRESS AVE, REDDING, CA 96002-0162
(530) 722-1111
Mailing address
100 E CYPRESS AVE, REDDING, CA 96002-0162
(530) 262-8903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
476685
CA
Other
Enumeration date
01/11/2017
Last updated
04/23/2018
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