Individual
ISAAC DANIEL MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Mailing address
2480 LAKE ST, KINGSBURG, CA 93631-9146
(559) 530-5370
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95208085
CA
Other
Enumeration date
10/18/2022
Last updated
10/18/2024
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