Individual
JENNIFER LYNN MENDONCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
554 BLOSSOM HILL RD, SAN JOSE, CA 95123-3212
(408) 360-8490
Mailing address
543 YUROK CIR, SAN JOSE, CA 95123-3333
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2512
CA
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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