Individual
MISS MARIA M MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 N MOUNTAIN AVE, UPLAND, CA 91784-1732
(909) 985-0916
(909) 985-0893
Mailing address
15443 PINE AVE, FONTANA, CA 92335-4354
(951) 360-9793
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
56086
CA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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