Individual
MS. CARLEEN ROSE MENDIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9821 TOSCANO DR, ELK GROVE, CA 95757-3029
(916) 686-8970
Mailing address
9821 TOSCANO DR, ELK GROVE, CA 95757-3029
(916) 686-8970
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
224342
CA
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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