Individual
ANTHONY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 FLORY AVE, MOORPARK, CA 93021-1815
(805) 532-2641
Mailing address
30 FLORY AVE, MOORPARK, CA 93021-1815
(805) 532-2641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PT27140
CA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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