Individual
MAH-ANN MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2195 HYACINTH ST NE STE 144, SALEM, OR 97301-3116
(503) 580-9771
(503) 393-1080
Mailing address
5244 WILLOW LEAF ST N, KEIZER, OR 97303-7519
(503) 580-9771
(503) 393-1080
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6588
OR
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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