Individual
PHILLIP MENDOZA JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 EDWARD AVE, AKRON, OH 44310-1957
(330) 475-9599
Mailing address
195 EDWARD AVE, AKRON, OH 44310-1957
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106646621899
—
OH
Enumeration date
10/30/2020
Last updated
10/30/2020
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