Individual
MS. JEANETTE EUGENIA MENDOZA ROMBAOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLT NCPT1
Contact information
Practice address
26525 GADING RD, UNIT #5, HAYWARD, CA 94544
(510) 940-0695
Mailing address
26525 GADING RD, UNIT #5, HAYWARD, CA 94544
(510) 940-0695
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
22470804576
—
246RM2200X
Medical Laboratory Technician
Primary
CPT122027
CA
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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