Individual
ADRIAN MENDOZA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 CHERRY AVE, GREENFIELD, CA 93927-4747
(831) 915-0485
Mailing address
819 CHERRY AVE, GREENFIELD, CA 93927-4747
(831) 915-0485
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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