Individual
MR. JONATHAN RAY GAERLAN MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2707 PINE ST, SAN FRANCISCO, CA 94115-2522
(415) 563-7600
Mailing address
57 VIOLA ST, SOUTH SAN FRANCISCO, CA 94080-7321
(650) 430-3054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8637
CA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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