Individual
MICHELE MARIE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/BSN
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8660
Mailing address
2492 SHADY OAK PL, MANTECA, CA 95336-5205
(209) 423-2614
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
797022
CA
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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