Individual
MARA ANDREA SUZARA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11962 DONNA LN, GARDEN GROVE, CA 92840-2514
(714) 350-4531
Mailing address
11962 DONNA LN, GARDEN GROVE, CA 92840-2514
(714) 350-4531
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10399
CA
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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