Individual
CHESTER MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15822 MANDARIN LN, LA MIRADA, CA 90638-5517
(714) 422-5340
Mailing address
15822 MANDARIN LN, LA MIRADA, CA 90638-5517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
768798
CA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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