Individual
IVAN MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 RIVER RD, SALINAS, CA 93908-9601
(831) 455-9965
Mailing address
124 RIVER RD, SALINAS, CA 93908-9601
(831) 455-9965
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
103864
CA
Other
Enumeration date
01/07/2021
Last updated
06/29/2023
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