Individual
MAKAELA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 TUPELO DR, CITRUS HEIGHTS, CA 95621-1741
(916) 729-3098
Mailing address
15398 FARNSWORTH ST, SAN LEANDRO, CA 94579-2014
(209) 636-9002
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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