Individual
ESTELLA A MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1044 W DRAKE RD STE 100, FORT COLLINS, CO 80526-3079
(970) 350-8642
Mailing address
1044 W DRAKE RD STE 100, FORT COLLINS, CO 80526-3079
(970) 350-8642
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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