Individual
DANICIA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 S POTOMAC ST, AURORA, CO 80012-4524
(303) 617-2300
Mailing address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(303) 617-2300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34503-133
—
CO
05
—
990B
—
CO
Enumeration date
12/26/2021
Last updated
01/28/2022
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