Individual
ANNA LISETTE MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9425 PENFIELD AVE STE 2700, CHATSWORTH, CA 91311-6516
(818) 341-3453
Mailing address
9425 PENFIELD AVE STE 2700, CHATSWORTH, CA 91311-6516
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
105758
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2020
Last updated
02/04/2022
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