Individual
PABLO ALBERTO MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2349 MYRTLE RD, IMPERIAL, CA 92251-9715
(760) 234-6101
Mailing address
2349 MYRTLE RD, IMPERIAL, CA 92251-9715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8924
CA
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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