Individual
JESTER ISAIAH CRUZ MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(408) 594-6891
Mailing address
512 BRINWOOD WAY, OAKLEY, CA 94561-3089
(408) 594-6891
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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