Individual
ANNALEE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20342 FLANAGAN ROAD, TRABUCO CANYON, CA 92679
(818) 582-8832
(818) 582-8836
Mailing address
84501 GUITRON ST, COACHELLA, CA 92236-1372
(760) 989-0544
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
—
374700000X
Technician
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
10/27/2021
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