Individual
MRS. LIDIA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 BALBOA BLVD, SUITE B, NORTHRIDGE, CA 91325-5403
(818) 701-7070
(818) 993-9900
Mailing address
9900 BALBOA BLVD, SUITE B, NORTHRIDGE, CA 91325-5403
(818) 701-7070
(818) 993-9900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2404394P955
CA
Other
Enumeration date
11/12/2010
Last updated
12/01/2010
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