Individual
CHRISTINE ELISABETH MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1573 MATHIAS PKWY, GARDNERVILLE, NV 89410-7966
(775) 782-6620
Mailing address
1652 CHOCTAW ST, SOUTH LAKE TAHOE, CA 96150-5215
(530) 573-0831
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0304
NV
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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