Individual
ANN M MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3 VALLEJO AVE, POINT REYES STATION, CA 94956
(206) 595-1271
Mailing address
PO BOX 523, POINT REYES STATION, CA 94956-0523
(206) 595-1271
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52613
CALIFORNIA PHYSICIAN ASSISTANT BOARD
CA
Enumeration date
07/06/2015
Last updated
11/03/2020
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