Individual
JESICA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 SOUTHCENTER BLVD FL 2, TUKWILA, WA 98188-2547
(206) 444-3600
Mailing address
6400 SOUTHCENTER BLVD FL 1, TUKWILA, WA 98188-2547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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