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Individual

YAHEIDY MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LE, CPE

Contact information

Practice address
2722 HARLEM AVE, RIVERSIDE, IL 60546-1738
(708) 407-9294
Mailing address
2722 HARLEM AVE, RIVERSIDE, IL 60546-1738
(708) 407-9294

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
220000234
IL

Other

Enumeration date
03/14/2024
Last updated
03/14/2024
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