Individual
BENJAMIN R MENDOZA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5429 OVANDO WAY, LAS VEGAS, NV 89122-8652
(808) 381-2971
Mailing address
5429 OVANDO WAY, LAS VEGAS, NV 89122-8652
(808) 381-2971
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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